ESSENTIA HEALTH 52ND AVENUE CLINIC
NPI 1780043257
Clinic/Center - Multi-Specialty in Fargo, ND
About Essentia Health 52nd Avenue Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ESSENTIA HEALTH 52ND AVENUE CLINIC (NPI 1780043257) is a healthcare organization registered as a multi-specialty in Fargo, North Dakota and active in the NPI registry since February 2016. The organization holds an CLIA Accreditation certificate valid through June 27, 2027 and lists Alan J Hurley, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Group Practice 1
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 52nd Avenue Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
639Medicare enrollment records show 639 clinicians reassign Medicare billing to Essentia Health 52nd Avenue Clinic, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 369 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 60
Nearest to this location (20)
See all 639Source: 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 Accreditation 35D2110160
Essentia Health 52nd Avenue Clinic · Fargo, NDFrequently 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 1780043257. It was assigned to this organization in the NPPES registry on February 12, 2016. The provider is doing business as Essentia Health 52nd Avenue Clinic.
Where is Innovis Health LLC located?
Innovis Health LLC is located at 4110 51st Ave S, Fargo, ND 58104. The listed phone number is (701) 364-3100.
What is Innovis Health LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
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, 10 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 Accreditation (number 35D2110160) is associated with this NPI, valid through June 27, 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.
# Essentia Health 52nd Avenue Clinic · NPI 1780043257
Multi-Specialty organization in Fargo, North Dakota. Organization record, active in the CMS NPPES registry since February 12, 2016.
## Identity
- **NPI:** 1780043257 (Entity type: Organization)
- **Enumerated:** February 12, 2016
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Legal business name:** Innovis Health Llc
- **Organization subpart:** Yes (part of Essentia Health)
- **Authorized official:** Alan Hurley, COO
## Practice location
- **Address:** 4110 51ST AVE S, Fargo, ND 58104-7776
- **Phone:** (701) 364-3100 · **Fax:** (701) 364-3160
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 639 clinicians in 60 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (180), Certified Registered Nurse Anesthetist (CRNA) (48), Hospitalist (37); 10 practice at this address and 369 within 10 miles; [full list](https://npiprofile.com/npi/1780043257/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 1, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1780043257) · Data from the CMS NPPES public registry.