NPIMap

Organization Active NPI

Convenient Care Clinic, PLLC

  • Family Nurse Practitioner
  • West Fargo, ND
National Provider Identifier
1457017444
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
CONVENIENT CARE CLINIC, PLLC
Practice address
505 32ND Ave E Ste B
West Fargo, ND 58078-8490
Phone
(701) 532-1731
Fax
(701) 532-1940
NPI assigned
Nov 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Authorized official

Name
Amber L Hewson
Title
Partner/Administrator
Phone
(701) 532-1731

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2100X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

505 32ND Ave E Ste B
West Fargo, ND 58078-8490

Mailing address

505 32ND Ave E Ste B
West Fargo, ND 58078-8490
Phone (701) 532-1731

Other names 1

  • Convenient Care Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230629001958 ND Part B Supplier - Clinic/Group Practice 5193184794 Receives reassigned benefits from 3 practitioners
Practice locations: West Fargo, ND

National Provider Directory

National Provider Directory
Tax ID family
Convenient Care Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3306 Sheyenne St
Ste 216
West Fargo, ND 58078
Phone (701) 532-1731

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1636761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1457017444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 32ND AVE E STE B",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580788490",
            "telephone_number": "701-532-1731",
            "fax_number": "701-532-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 32ND AVE E STE B",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580788490",
            "telephone_number": "701-532-1731",
            "fax_number": "701-532-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVENIENT CARE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-13",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "HEWSON",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PARTNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "701-532-1731"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Convenient Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Convenient Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.