Midwest Mental Health Clinic PLLC
NPI 1861877052 · Psychiatric/Mental Health Nurse Practitioner · Fargo, ND
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Midwest Mental Health Clinic PLLC is a Psychiatric/Mental Health Nurse Practitioner organization in Fargo, ND (NPI 1861877052).
Provider details
- NPI number
- 1861877052
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jacqualine Gervais, Owner(218) 477-1353
- License
- CNP3899 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (3)
- 819 30th Ave S Office 206 Suite BMoorhead, MN 56560Phone: (218) 477-1353Fax: (218) 477-1354
- 1829 S Broadway Ste 4Minot, ND 58701-6571Phone: (218) 477-1353Fax: (218) 477-1354
- 5306 Ballard Ave Nw Ste 208Seattle, WA 98107-4366Phone: (218) 477-1353
Registry dates
- Enumerated
- 2015-07-29
- Last updated
- 2023-01-17
- Certified
- 2023-01-17
Frequently asked questions
- What is Midwest Mental Health Clinic PLLC's NPI number?
- Midwest Mental Health Clinic PLLC's National Provider Identifier (NPI) is 1861877052, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Midwest Mental Health Clinic PLLC?
- Midwest Mental Health Clinic PLLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Midwest Mental Health Clinic PLLC located?
- Midwest Mental Health Clinic PLLC's practice location on file with NPPES is 1122 1st Ave N, Fargo, ND 58102-4604.
- What is Midwest Mental Health Clinic PLLC's phone number?
- The practice phone number listed in the NPPES registry for Midwest Mental Health Clinic PLLC is (218) 477-1353.
- Does Midwest Mental Health Clinic PLLC accept Medicare?
- Midwest Mental Health Clinic PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Midwest Mental Health Clinic PLLC?
- The authorized official listed on Midwest Mental Health Clinic PLLC's NPPES record is Jacqualine Gervais, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Midwest Mental Health Clinic PLLC's NPI active?
- Yes — Midwest Mental Health Clinic PLLC's NPI (1861877052) is active in the NPPES registry as of the last update on 2023-01-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.