Active NPI
Sharon Dunkel, NP
- Primary Care Nurse Practitioner
- Fargo, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- R23525
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0257819 | Other | ND | NURSING 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| R23525 | ND | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Dakota State University | Current | Accepting new patients | |
| North Dakota State University | Past | 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.
-
- Clinic/Center
- Fargo, ND
- NPI 1427152115
-
dba NDSU Student Health Service Pharmacy
- Clinic Pharmacy
- Fargo, ND
- NPI 1811939416
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.