ESSENTIA HEALTH 45TH STREET CLINIC
NPI 1891453411
Clinic/Center - Multi-Specialty in Fargo, ND

Active since December 01, 2021
4476 31ST AVE S STE 101, FARGO, ND 58104(701) 234-9400(701) 234-9401 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 4, 2022, Feb 18, 2022, Feb 9, 2022 and 2 more (5 updates tracked since 2021).

About Essentia Health 45th Street Clinic NPPES

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

ESSENTIA HEALTH 45TH STREET CLINIC (NPI 1891453411) is a healthcare organization registered as a multi-specialty in Fargo, North Dakota and active in the NPI registry since December 2021. The organization lists Alan Hurley, Coo, as its authorized official.

NPPES Registry Identity

NPI1891453411
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameINNOVIS HEALTH, LLC
Location Address4476 31ST AVE S STE 101Fargo, ND 58104-4532
Mailing Address4476 31st Ave S Ste 101Fargo, ND 58104-4532 · (701) 234-9400 · Fax (701) 234-9401
Fax(701) 234-9401
Organization SubpartYesParent: Essentia Health
Authorized OfficialAlan HurleyCoo · (701) 364-7667
Enumeration DateDecember 1, 2021
Last NPPES UpdateMarch 1, 20245 updates tracked since enumeration
NPPES CertifiedMarch 1, 2024
✔ NPI 1891453411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
4476 31ST AVE S STE 101, Fargo, ND 58104

Other Names 1

Doing Business AsEssentia Health 45th Street Clinic

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 45th Street Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

614

Medicare enrollment records show 614 clinicians reassign Medicare billing to Essentia Health 45th Street Clinic, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 359 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 60

Nurse Practitioner170
Certified Registered Nurse Anesthetist (CRNA)48
Hospitalist36
Family Practice28
Physical Therapist in Private Practice25
Obstetrics/Gynecology22
Pediatric Medicine20
Emergency Medicine19
52 other specialties246

Nearest to this location (20)

See all 614
Nurse Practitioner
NPI 1205481405
4476 31ST AVE S
Fargo, ND 58104
(017) 234-8000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1558701615
4476 31ST AVE S STE 101
Fargo, ND 58104
(701) 234-9400
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1912619511
4476 31ST AVE S STE 101
Fargo, ND 58104
(701) 234-9400
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1396268074
4476 31ST AVE S
Fargo, ND 58104
(701) 234-9400
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1093245094
4476 31ST AVE S STE 101
Fargo, ND 58104
(701) 364-8900
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1922039684
5049 33RD AVE S
Fargo, ND 58104
(701) 356-1001
✔ PECOS✔ Accepts Medicare0.7 mi
Emergency Medicine
NPI 1801424882
2401 41ST ST S
Fargo, ND 58104
(701) 551-6980
✔ PECOS0.7 mi
Nurse Practitioner
NPI 1598118424
4110 51ST AVENUE SOUTH
Fargo, ND 58104
(701) 364-3100
✔ PECOS✔ Accepts Medicare1.0 mi
General Practice
NPI 1275762924
4110 51ST AVENUE SOUTH
Fargo, ND 58104
(701) 364-8915
✔ PECOS✔ Accepts Medicare1.0 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1851319529
5225 23RD AVE S
Fargo, ND 58104
(701) 234-2000
✔ PECOS✔ Accepts Medicare1.1 mi
Diagnostic Radiology
NPI 1063999308
5225 23RD AVE S
Fargo, ND 58104
(701) 234-5933
✔ PECOS✔ Accepts Medicare1.1 mi
Critical Care (Intensivists)
NPI 1336462886
5225 23RD AVE S
Fargo, ND 58104
(701) 417-6428
✔ PECOS✔ Accepts Medicare1.1 mi
Dermatology
NPI 1639121304
4656 40TH AVE S
Fargo, ND 58104
(701) 234-8860
✔ PECOS✔ Accepts Medicare1.2 mi
Family Practice
NPI 1871975490
3955 56TH ST S STE D
Fargo, ND 58104
(701) 417-7500
✔ PECOS✔ Accepts Medicare1.4 mi
Cardiac Electrophysiology
NPI 1427050699
3000 32ND AVE S
Fargo, ND 58103
(701) 364-8900
✔ PECOS✔ Accepts Medicare1.6 mi
Emergency Medicine
NPI 1588242085
3000 32ND AVE S
Fargo, ND 58103
(701) 364-8000
✔ PECOS✔ Accepts Medicare1.6 mi
Anesthesiology
NPI 1932720877
3000 32ND AVE S
Fargo, ND 58103
(701) 364-8900
✔ PECOS✔ Accepts Medicare1.6 mi
Hospitalist
NPI 1912586645
3000 32ND AVE S
Fargo, ND 58103
(701) 364-8000
✔ PECOS✔ Accepts Medicare1.6 mi
Pediatric Medicine
NPI 1477808939
3000 32ND AVE S
Fargo, ND 58103
(701) 364-8000
✔ PECOS1.6 mi
Undersea and Hyperbaric Medicine
NPI 1063773547
3000 32ND AVE S
Fargo, ND 58103
(701) 364-8000
✔ PECOS✔ Accepts Medicare1.6 mi
See all 614 clinicians

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 Innovis Health, LLC's NPI number?

The NPI number for Innovis Health, LLC is 1891453411. It was assigned to this organization in the NPPES registry on December 1, 2021. The provider is doing business as Essentia Health 45th Street Clinic.

Where is Innovis Health, LLC located?

Innovis Health, LLC is located at 4476 31st Ave S Ste 101, Fargo, ND 58104. The listed phone number is (701) 234-9400.

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), 614 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 (170), Certified Registered Nurse Anesthetist (CRNA) (48) and Hospitalist (36). Of these, 5 practice at this address and 359 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.