RENEW MEDICAL CLINIC LLC
NPI 1811234032
Anesthesiology - Pain Medicine in Fargo, ND

Q: What is Renew Medical Clinic LLC's NPI number?

The NPI number for Renew Medical Clinic LLC is 1811234032. It was assigned to this organization in the NPPES registry on January 8, 2013.

Q: What is Renew Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Active since January 08, 2013

4225 38TH ST S STE 101, FARGO, ND 58104(701) 404-9909(877) 813-3081 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 14, 2026, Nov 15, 2019 (2 updates tracked since 2019).

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About Renew Medical Clinic Llc NPPES

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

RENEW MEDICAL CLINIC LLC (NPI 1811234032) is a healthcare organization registered as a pain medicine in Fargo, North Dakota and active in the NPI registry since January 2013. The organization lists David Jerome Hanson, Owner, as its authorized official.

NPPES Registry Identity

NPI1811234032

Entity TypeOrganization

Primary Taxonomy207LP2900X

Legal Business NameRENEW MEDICAL CLINIC LLC

Location Address4225 38TH ST S STE 101Fargo, ND 58104-7573

Mailing Address4225 38th St S Ste 101Fargo, ND 58104-7573 · (701) 404-9909 · Fax (877) 813-3081

Phone(701) 404-9909

Fax(877) 813-3081

Organization SubpartNo

Authorized OfficialDavid Jerome HansonOwner · (218) 770-1006

Enumeration DateJanuary 8, 2013

Last NPPES UpdateMay 14, 20262 updates tracked since enumeration

NPPES CertifiedMay 14, 2026

✔ NPI 1811234032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207LP2900X

License✔ Licensed in MN · 44547

Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

4225 38TH ST S STE 101, Fargo, ND 58104

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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)

Renew Medical Clinic Llc 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 Renew Medical Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

David Hanson, MD

Anesthesiology

NPI 1932262474

4225 38TH ST S STE 101
Fargo, ND 58104

(701) 404-9909

✔ 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.

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 Renew Medical Clinic LLC's NPI number?

The NPI number for Renew Medical Clinic LLC is 1811234032. It was assigned to this organization in the NPPES registry on January 8, 2013.

Where is Renew Medical Clinic LLC located?

Renew Medical Clinic LLC is located at 4225 38th St S Ste 101, Fargo, ND 58104. The listed phone number is (701) 404-9909.

What is Renew Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Renew Medical Clinic LLC enrolled in Medicare?

Yes. Renew Medical Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Renew Medical Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Anesthesiology) reassigns their Medicare billing to Renew Medical Clinic 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Renew Medical Clinic LLC accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Renew Medical Clinic 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 Renew Medical Clinic LLC was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.