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LEGACY HEALTH CLINIC
NPI 1598340358
Clinic/Center in Minot, ND

Active since March 13, 2021CLIA 35D2221641 · Microscopy
1603 35TH AVE SW, MINOT, ND 58701(701) 838-6000(701) 838-6624 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 12, 2025, Mar 13, 2021 (2 updates tracked since 2021).

About Legacy Health Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEGACY HEALTH CLINIC (NPI 1598340358) is a healthcare organization registered as a clinic/center in Minot, North Dakota and active in the NPI registry since March 2021. The organization holds a CLIA Microscopy certificate valid through April 21, 2027, maintains a secondary practice location in Minot, and lists Cimberly Berg-hooker, Owner/founder, as its authorized official.

NPPES Registry Identity

NPI1598340358
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameLEGACY HEALTH CLINIC
Location Address1603 35TH AVE SWMinot, ND 58701-8406
Mailing Address1603 35th Ave SwMinot, ND 58701-8406 · (701) 838-6000 · Fax (701) 838-6624
Phone(701) 838-6000
Fax(701) 838-6624
Organization SubpartNo
Authorized OfficialCimberly Berg-hookerOwner/founder · (701) 720-0737
Enumeration DateMarch 13, 2021
Last NPPES UpdateJune 26, 20262 updates tracked since enumeration
NPPES CertifiedJune 26, 2026
✔ NPI 1598340358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1603 35TH AVE SW, Minot, ND 58701
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Secondary Practice Location 1

Location 11324 20th Ave SWMinot, ND 58701-6452 · Phone (701) 720-0737

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Legacy Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Legacy Health Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Nicole Peterson, NURSE PRACTITIONER
Nurse Practitioner
NPI 1518511492
1603 35TH AVE SW
Minot, ND 58701
(701) 838-6000
✔ PECOS✔ Accepts MedicareSame address
Emily Marsh, FNP-C
Nurse Practitioner
NPI 1700618188
1324 20TH AVE SW STE 1
Minot, ND 58701
(701) 838-6000
✔ PECOS✔ Accepts Medicare0.9 mi
Sharon Wright, ANP-C
Nurse Practitioner
NPI 1407174279
3108 S BROADWAY STE H
Minot, ND 58701
(701) 420-2273
✔ PECOS✔ Accepts Medicare1.0 mi
Georgia Krein, NP
Nurse Practitioner
NPI 1114205978
600 MAIN ST S MCHS MINOT / HEARTLAND CARE PARTNERS
Minot, ND 58701
(800) 375-5495
✔ PECOS2.5 mi
Janet Maxson, APNP, PHD
Nurse Practitioner
NPI 1851462014
315 MAIN ST S SUITE 205
Minot, ND 58701
(701) 857-5854
✔ PECOS2.6 mi
Rachelle Garrett
Nurse Practitioner
NPI 1699168286
1200 COLLINS AVE
Mandan, ND 58554
(701) 663-5373
✔ PECOS✔ Accepts Medicare96 mi
Rosa Portillo, FNP-C
Nurse Practitioner
NPI 1639951528
880 SW 145TH AVE STE 202
Pembroke Pines, FL 33027
(866) 849-0692
✔ PECOS1,907 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 35D2221641

Legacy Health Clinic · Minot, ND
Active · expires Apr 21, 2027
CLIA Number35D2221641
Laboratory TypePractitioner Other
Certificate Effective DateApril 22, 2025
Certificate Expiration DateApril 21, 2027
Laboratory DirectorCimberly F. Hooker
Laboratory Phone(701) 838-6000
Laboratory LocationLegacy Health Clinic1603 35th Ave SW, Minot, ND 58701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Legacy Health Clinic's NPI number?

The NPI number for Legacy Health Clinic is 1598340358. It was assigned to this organization in the NPPES registry on March 13, 2021.

Where is Legacy Health Clinic located?

Legacy Health Clinic is located at 1603 35th Ave SW, Minot, ND 58701. The listed phone number is (701) 838-6000.

What is Legacy Health Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Legacy Health Clinic enrolled in Medicare?

Yes. Legacy Health Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Legacy Health Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Legacy Health Clinic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Legacy Health Clinic hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 35D2221641) is associated with this NPI, valid through April 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Legacy Health Clinic accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Legacy Health Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Legacy Health Clinic was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.