Individual provider Active NPI

Amanda Helmer, DNP

  • Family Nurse Practitioner
  • Fargo, ND
National Provider Identifier
1043660954
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R36631 Issued in ND
Practice address
1111 Harwood Dr S
Fargo, ND 58104-4603
Phone
(701) 234-2700
NPI assigned
Jun 21, 2016
Last updated
Jun 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R36631 ND Primary

Addresses

Primary practice location

1111 Harwood Dr S
Fargo, ND 58104-4603

Mailing address

1111 Harwood Dr S
Fargo, ND 58104-4603
Phone (701) 234-2700

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160831000183 ND Practitioner - Nurse Practitioner 0143516161 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R36631NDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center Fargo CurrentSince Jul 13, 2016 Accepting new patients
Sanford Medical Center Fargo CurrentSince Jul 13, 2016 Accepting new patients
Sanford Medical Center Fargo Past Accepting new patients

Locations

1111 Harwood Dr S
Fargo, ND 58104
Phone (701) 234-2700

2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1043660954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 HARWOOD DR S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044603",
            "telephone_number": "701-234-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 HARWOOD DR S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044603",
            "telephone_number": "701-234-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELMER",
        "first_name": "AMANDA",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R36631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.