ESSENTIA HEALTH MOORHEAD CLINIC
NPI 1659617504
Family Medicine in Moorhead, MN

Active since December 21, 2012CLIA 24D0406439 · Waiver
801 BELSLY BLVD, MOORHEAD, MN 56560(701) 364-6800(701) 364-6828 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 1, 2021, Dec 30, 2019 (2 updates tracked since 2019).

About Essentia Health Moorhead Clinic NPPES

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

ESSENTIA HEALTH MOORHEAD CLINIC (NPI 1659617504) is a healthcare organization registered as a family medicine in Moorhead, Minnesota and active in the NPI registry since December 2012. The organization holds a CLIA Waiver certificate valid through October 3, 2027 and lists Alan J Hurley, Coo, as its authorized official.

NPPES Registry Identity

NPI1659617504
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameINNOVIS HEALTH LLC
Location Address801 BELSLY BLVDMoorhead, MN 56560-5055
Mailing AddressPo Box 1450 Nw7813Minneapolis, MN 55485-7813 · (701) 364-3300 · Fax (701) 364-8906
Fax(701) 364-6828
Organization SubpartYesParent: Essentia Health
Authorized OfficialAlan J HurleyCoo · (701) 364-7667
Enumeration DateDecember 21, 2012
Last NPPES UpdateMarch 1, 20242 updates tracked since enumeration
NPPES CertifiedMarch 1, 2024
✔ NPI 1659617504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
801 BELSLY BLVD, Moorhead, MN 56560

Other Names 1

Doing Business AsEssentia Health Moorhead Clinic

Other Identifiers 1

Medicaid14510ND

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted 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)

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

Clinicians Billing Medicare Through This Organization

639

Medicare enrollment records show 639 clinicians reassign Medicare billing to Essentia Health Moorhead Clinic, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 369 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 60

Nurse Practitioner180
Certified Registered Nurse Anesthetist (CRNA)48
Hospitalist37
Family Practice33
Physical Therapist in Private Practice27
Obstetrics/Gynecology25
Pediatric Medicine20
Emergency Medicine19
52 other specialties250

Nearest to this location (20)

See all 639
Physical Therapist in Private Practice
NPI 1013808187
801 BELSLY BLVD
Moorhead, MN 56560
(701) 364-6800
Same address
Nurse Practitioner
NPI 1669948345
801 BELSLY BLVD
Moorhead, MN 56560
(218) 364-6800
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1891354148
801 BELSLY BLVD
Moorhead, MN 56560
(218) 634-6800
Same address
Family Practice
NPI 1396197018
801 BELSLY BOULEVARD
Moorhead, MN 56560
(218) 364-6800
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1841913993
801 BELSLY BLVD
Moorhead, MN 56560
(701) 364-6800
Same address
Nurse Practitioner
NPI 1154203065
801 BELSLY BLVD
Moorhead, MN 56560
(701) 364-6800
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1508217183
801 BELSLY BOULEVARD
Moorhead, MN 56560
(218) 364-6800
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1386680080
801 BELSLY BLVD
Moorhead, MN 56560
(701) 364-6800
Same address
Nurse Practitioner
NPI 1598172322
801 BELSLY BLVD
Moorhead, MN 56560
(218) 364-6800
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1992742985
801 BELSLY BLVD
Moorhead, MN 56560
(701) 364-6800
Same address
Family Practice
NPI 1285926360
801 BELSLY BLVD
Moorhead, MN 56560
(218) 364-6800
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1922025568
2829 UNIVERSITY DR S STE 202
Fargo, ND 58103
(701) 241-9300
✔ PECOS✔ Accepts Medicare1.5 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1134393135
1720 UNIVERSITY DR S RT 1707
Fargo, ND 58103
(701) 234-6259
✔ Accepts Medicare1.7 mi
Nurse Practitioner
NPI 1881432847
1720 UNIVERSITY DR S
Fargo, ND 58103
(701) 234-2000
✔ PECOS✔ Accepts Medicare1.7 mi
Clinical Social Worker
NPI 1538465562
1702 UNIVERSITY DR S
Fargo, ND 58103
(701) 364-3300
✔ PECOS✔ Accepts Medicare1.7 mi
Physical Therapist in Private Practice
NPI 1518447895
1702 UNIVERSITY DRIVE SOUTH
Fargo, ND 58103
(701) 364-3300
1.7 mi
Chiropractic
NPI 1548777584
1702 UNIVERSITY DR S
Fargo, ND 58103
(701) 364-3300
✔ Accepts Medicare1.7 mi
Pulmonary Disease
NPI 1689920779
1702 UNIVERSITY DR S
Fargo, ND 58103
(701) 364-3300
✔ PECOS✔ Accepts Medicare1.7 mi
Pediatric Medicine
NPI 1790282887
1702 UNIVERSITY DR S
Fargo, ND 58103
(701) 364-3300
✔ PECOS1.8 mi
Qualified Audiologist
NPI 1790955599
1702 UNIVERSITY DR S
Fargo, ND 58103
(701) 364-3300
✔ Accepts Medicare1.8 mi
See all 639 clinicians

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 of Waiver 24D0406439

Essentia Health - Moorhead · Moorhead, MN
Active · expires Oct 3, 2027
CLIA Number24D0406439
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 4, 2025
Certificate Expiration DateOctober 3, 2027
Laboratory DirectorKaitlyn E. Wilson
Laboratory Phone(701) 364-6820
Laboratory LocationEssentia Health - Moorhead801 Belsley Blvd, Moorhead, MN 56560
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only 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 Innovis Health LLC's NPI number?

The NPI number for Innovis Health LLC is 1659617504. It was assigned to this organization in the NPPES registry on December 21, 2012. The provider is doing business as Essentia Health Moorhead Clinic.

Where is Innovis Health LLC located?

Innovis Health LLC is located at 801 Belsly Blvd, Moorhead, MN 56560. The listed phone number is (701) 364-6800.

What is Innovis Health LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Innovis Health LLC enrolled in Medicare?

Yes. Innovis Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Innovis Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 639 clinicians in 60 Medicare specialties reassign their Medicare billing to Innovis Health LLC. 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. The largest specialties are Nurse Practitioner (180), Certified Registered Nurse Anesthetist (CRNA) (48) and Hospitalist (37). Of these, 11 practice at this address and 369 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Innovis Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0406439) is associated with this NPI, valid through October 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Innovis Health LLC accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Innovis Health LLC 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 Innovis Health LLC was last updated on March 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.