Midwest Mental Health Clinic PLLC
A Medicare group practice based in Fargo, ND: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6204216070), with 7 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 6204216070
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- MN, ND
- Enrollments
- 2
- Group size
- 5 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 3
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20220711002159 | ND | Part B Supplier - Clinic/Group Practice | 1861877052 |
| O20230831004639 | MN | Part B Supplier - Clinic/Group Practice | 1861877052 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Midwest Mental Health Clinic PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Fargo, ND
- NPI 1861877052
-
Midwest Mental Health Clinic PLLC
dba Midwest Mental Health
- Addiction (Substance Use Disorder) Counselor
- Fargo, ND
- NPI 1710600028
Practice locations
- Fargo, ND2
- Moorhead, MN1
Clinicians 7
Clinicians who reassign their Medicare benefits to this group (7) or whom Care Compare lists as members (5).
-
Sarah Abbott
- Adult Health Nurse Practitioner
- Fargo, ND
- NPI 1396402475
-
Soha Alammoury
- Psychiatric/Mental Health Nurse Practitioner
- Westland, MI
- NPI 1750730834
-
Jacqualine Kay Gervais, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Moorhead, MN
- NPI 1336481803
-
Stacie Lynn Olson, APRN, ARNP, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Moorhead, MN
- NPI 1669756755
-
James O Powell, LCSW
- Mental Health Counselor
- Fargo, ND
- NPI 1528202116
-
Landi Schock, RN, PMH-NP
- Psychiatric/Mental Health Nurse Practitioner
- West Fargo, ND
- NPI 1184198707
-
Maryn Lynna Young, FNP-BC, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Fargo, ND
- NPI 1073089439
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.