Madison Mae Klein Mensah, CNP

Individual provider Active NPI Women's Health Nurse Practitioner · Fargo, ND

NPI 1043083892 · NPPES record last updated Sep 10, 2026

Key facts

NPI
1043083892
Entity type
Individual (NPI type 1)
Primary specialty
Women's Health Nurse Practitioner 363LW0102X
License
205863 (ND)
Practice address
1411 32ND St S Ste 1
Fargo, ND 58103-6304
Phone
(701) 264-5200
NPI assigned
Nov 2, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
2482428MNMDRegistered Nurse
R49709NDMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 205863 ND Yes
Registered Nurse 163W00000X 2482428 MN
Registered Nurse 163W00000X R49709 ND

Addresses

Primary practice location

1411 32ND St S Ste 1
Fargo, ND 58103-6304

Mailing address

1411 32ND St S Ste 1
Fargo, ND 58103-6304
Phone (701) 264-5200

Other providers in Fargo, ND

All providers in Fargo, ND · Women's Health Nurse Practitioner in North Dakota

Sources for this page

Verify at the official NPI Registry.