Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Mitchell Julius Likness, PA-C

Individual provider Physician Assistant · NPI 1073091757

Mr. Mitchell Julius Likness, PA-C is a Physician Assistant in Fargo, North Dakota. Qualified in 2018, 8 years ago. Practices with Sanford Medical Center Fargo, a 1,212-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
8
Licensed in
MN
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

736 Broadway N
Fargo, ND 58102-4421
Phone: (605) 280-0669
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12785 (MN)

Record details

NPI number1073091757
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 3, 2018
Last updated in NPPESAugust 17, 2021
Certification dateAugust 17, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Sanford Medical Center Fargo — 1212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations12 on file with Medicare

Other providers in Fargo