Individual provider Active NPI

Erin Marie Wilmes Reiniger, APRN, FNP-C

  • Family Nurse Practitioner
  • Fargo, ND
National Provider Identifier
1013564624
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R36597 Issued in ND
Practice address
4622 40TH Ave S
Fargo, ND 58104-4394
Phone
(701) 364-8000
Fax
(701) 364-3561
NPI assigned
Aug 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6936 MN
Family Nurse Practitioner 363LF0000X R36597 ND Primary

Addresses

Primary practice location

4622 40TH Ave S
Fargo, ND 58104-4394

Mailing address

4622 40TH Ave S
Fargo, ND 58104-4394
Phone (701) 364-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, ND2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191115001606 MN Practitioner - Nurse Practitioner 0941632707 Reassigns benefits to 1 organization
I20191226002262 ND Practitioner - Nurse Practitioner 0941632707 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovis Health LLCGroup PAC ID 9931298155, shared by 7 NPIs, 561 clinicians

Practice addresses (Care Compare)

1405 7TH St S
Moorhead, MN 56560-3444
Phone (218) 233-7508

4622 40TH Ave S
Suite a
Fargo, ND 58104-4394
Phone (701) 364-8900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R36597NDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Innovis Health, LLC CurrentSince Apr 22, 2024 Accepting new patients
Innovis Health LLC Current Accepting new patients
Innovis Health, LLC Current Accepting new patients
Innovis Health LLC CurrentSince Apr 22, 2024 Accepting new patients
Innovis Health, LLC. CurrentSince May 1, 2025 Accepting new patients
Pam Physician Enterprise CurrentSince Dec 18, 2022 Accepting new patients
Hospice of the Red River Valley Past Accepting new patients

Locations

1405 7th St S
Moorhead, MN 56560
Phone (218) 233-7508

208 Oppegard Ave NW
Twin Valley, MN 56584
Phone (218) 584-5181

4671 38th St S
Fargo, ND 58104
Phone (701) 404-5100

1702 University Dr S
Fargo, ND 58103
Phone (701) 364-4222

4622 40th Ave S
Fargo, ND 58104
Phone (701) 232-6211

4622 40th Ave S
Ste A
Fargo, ND 58104
Phone (701) 364-2909

3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-3000

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1013564624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4622 40TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044394",
            "telephone_number": "701-364-8000",
            "fax_number": "701-364-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4622 40TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044394",
            "telephone_number": "701-364-8000",
            "fax_number": "701-364-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILMES REINIGER",
        "first_name": "ERIN",
        "middle_name": "MARIE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "6936",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R36597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.