WILLOW HEALTH, PLLC
NPI 1780426643
Family Medicine in Fargo, ND

Q: What is Willow Health, PLLC's NPI number?

The NPI number for Willow Health, PLLC is 1780426643. It was assigned to this organization in the NPPES registry on June 11, 2024.

Q: What is Willow Health, PLLC's specialty?

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

Active since June 11, 2024CLIA 35D2332188 · Waiver

3101 BROADWAY N STE B, FARGO, ND 58102(701) 658-5577(701) 888-5595 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 3, 2026, Dec 30, 2024, Oct 1, 2024 and 1 more (4 updates tracked since 2024).

On this page

About Willow Health, Pllc NPPES

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

WILLOW HEALTH, PLLC (NPI 1780426643) is a healthcare organization registered as a family medicine in Fargo, North Dakota and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through October 14, 2027 and lists Jessie Samantha Lindemann, President, as its authorized official.

NPPES Registry Identity

NPI1780426643

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameWILLOW HEALTH, PLLC

Location Address3101 BROADWAY N STE BFargo, ND 58102-1485

Mailing Address3101 Broadway N Ste BFargo, ND 58102-1485 · (701) 658-5577 · Fax (701) 888-5595

Phone(701) 658-5577

Fax(701) 888-5595

Organization SubpartNo

Authorized OfficialJessie Samantha LindemannPresident · (608) 445-2692

Enumeration DateJune 11, 2024

Last NPPES UpdateJune 3, 20264 updates tracked since enumeration

NPPES CertifiedJune 3, 2026

✔ NPI 1780426643 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.

3101 BROADWAY N STE B, Fargo, ND 58102

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Willow Health, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jessie Lindemann, MD

Family Practice

NPI 1427492677

3101 BROADWAY N STE B
Fargo, ND 58102

(701) 658-5577

✔ PECOS✔ Accepts MedicareSame address

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 35D2332188

Willow Health, PLLC · Fargo, ND

Active · expires Oct 14, 2027

CLIA Number35D2332188

Laboratory TypePhysician Office

Certificate Effective DateOctober 15, 2025

Certificate Expiration DateOctober 14, 2027

Laboratory DirectorJessie S. Lindemann

Laboratory Phone(701) 658-5577

Laboratory LocationWillow Health, PLLC3101 Broadway N Suite B, Fargo, ND 58102

CLIA data matches this NPI record on: Address Name Phone

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 Willow Health, PLLC's NPI number?

The NPI number for Willow Health, PLLC is 1780426643. It was assigned to this organization in the NPPES registry on June 11, 2024.

Where is Willow Health, PLLC located?

Willow Health, PLLC is located at 3101 Broadway N Ste B, Fargo, ND 58102. The listed phone number is (701) 658-5577.

What is Willow Health, PLLC's specialty?

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

Is Willow Health, PLLC enrolled in Medicare?

Yes. Willow Health, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Willow Health, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Willow Health, PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Willow Health, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D2332188) is associated with this NPI, valid through October 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Willow Health, PLLC accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Willow Health, PLLC 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 Willow Health, PLLC was last updated on June 3, 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.