Individual provider Active NPI

Jennifer Dobis, MD

  • Family Medicine Physician
  • Fargo, ND
National Provider Identifier
1093245094
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15477 Issued in ND
Practice address
4476 31St Ave S Ste 101
Fargo, ND 58104-4532
Phone
(701) 364-8900
Fax
(701) 234-9401
NPI assigned
Jun 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 15477 ND Primary
Family Medicine Physician 207Q00000X RL14623 ND

Addresses

Primary practice location

4476 31St Ave S Ste 101
Fargo, ND 58104-4532

Mailing address

4476 31St Ave S Ste 101
Fargo, ND 58104-4532
Phone (701) 364-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190910001917 ND Practitioner - Family Practice 8325311715 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Dakota School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovis Health LLCGroup PAC ID 9931298155, 561 clinicians

Practice addresses (Care Compare)

3000 32ND Ave S
Fargo, ND 58103-6132
Phone (701) 364-8000

4476 31St Ave S
Suite 101
Fargo, ND 58104-4532
Phone (701) 234-9400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15477NDMDFamily Medicine Physician
RL14623NDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Innovis Health, LLC Current Accepting new patients
Innovis Health LLC Family Medicine CurrentSince Aug 31, 2020 Accepting new patients
Innovis Health LLC Family Medicine CurrentSince Aug 31, 2020 Accepting new patients
Altru Health System CurrentSince Jun 24, 2019 Accepting new patients
Altru Health System Family Medicine CurrentSince Jun 24, 2019 Accepting new patients

Locations

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

4476 31st Ave S
#101
Fargo, ND 58104
Phone (701) 234-9400

3902 13th Ave S
Fargo, ND 58103
Phone (701) 282-5880

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

1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000

1200 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-5243

725 Hamline St
Grand Forks, ND 58203
Phone (701) 777-6800

2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891

Organizations & group practices 5

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 7

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": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1093245094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4476 31ST AVE S STE 101",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044532",
            "telephone_number": "701-364-8900",
            "fax_number": "701-234-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4476 31ST AVE S STE 101",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044532",
            "telephone_number": "701-364-8900",
            "fax_number": "701-234-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBIS",
        "first_name": "JENNIFER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "15477",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "RL14623",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.