Individual provider Active NPI

Sharon Dunkel, NP

  • Primary Care Nurse Practitioner
  • Fargo, ND
National Provider Identifier
1053509273
Registry record updated Nov 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
R23525 Issued in ND
Practice address
1707 Centennial Blvd
Fargo, ND 58102-6050
Phone
(701) 231-7331
Fax
(701) 231-6132
NPI assigned
Oct 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R23525 ND
Primary Care Nurse Practitioner 363LP2300X R23525 ND Primary

Addresses

Primary practice location

1707 Centennial Blvd
Fargo, ND 58102-6050

Mailing address

1707 Centennial Blvd
Fargo, ND 58102-6050
Phone (701) 231-7331

Other identifiers 1

IdentifierTypeStateIssuer
0257819OtherNDNURSING CERTIFICATION

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
I20041216000680 ND Practitioner - Nurse Practitioner 1254398688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Dakota State UniversityGroup PAC ID 3173876000, 2 clinicians

Practice addresses (Care Compare)

1707 Centennial Blvd
Fargo, ND 58102-2100
Phone (701) 231-7331

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R23525NDMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Dakota State University CurrentSince Sep 18, 2018 Accepting new patients
North Dakota State University PastSince Sep 18, 2018 Accepting new patients

Locations

1707 Centennial Blvd
Fargo, ND 58102
Phone (701) 231-7331

1707 Centennial Blvd
#102
Fargo, ND 58102

Organizations & group practices 2

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": "1192147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1053509273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 CENTENNIAL BLVD",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581026050",
            "telephone_number": "701-231-7331",
            "fax_number": "701-231-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 CENTENNIAL BLVD",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581026050",
            "telephone_number": "701-231-7331",
            "fax_number": "701-231-6132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNKEL",
        "first_name": "SHARON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-12",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ND",
            "license": "R23525",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "ND",
            "license": "R23525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING CERTIFICATION",
            "identifier": "0257819",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.