Individual provider Active NPI

Marissa Ann Byrne, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fargo, ND
National Provider Identifier
1063292134
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R46167 Issued in ND
Practice address
3788 55TH Ave S Ste 205
Fargo, ND 58104-5588
Phone
(701) 205-4847
Fax
(701) 540-0441
NPI assigned
Oct 4, 2023
Last updated
Jan 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R46167 ND Primary
Registered Nurse 163W00000X R46167 ND

Addresses

Primary practice location

3788 55TH Ave S Ste 205
Fargo, ND 58104-5588

Mailing address

3788 55TH Ave S Ste 205
Fargo, ND 58104-5588
Phone (701) 205-4847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, ND2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240528000768 MN Practitioner - Nurse Practitioner 9638511348 Reassigns benefits to 1 organization
I20240711003488 ND Practitioner - Nurse Practitioner 9638511348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Solutions Behavioral Healthcare Professionals PCGroup PAC ID 0345209524, 30 clinicians

Practice addresses (Care Compare)

1547 30TH Ave S
Moorhead, MN 56560-5149
Phone (218) 287-4338

1635 43Rd St S
Suite 105
Fargo, ND 58103-3579
Phone (701) 412-2973

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R46167NDMDRegistered Nurse
11272MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Peace Psychiatry Psychiatric/Mental Health Current Accepting new patients
Solutions Behavioral Healthcare Professionals, PC CurrentSince Apr 21, 2024 Accepting new patients

Locations

1547 30th Ave S
Moorhead, MN 56560
Phone 21828743381113

4503 Coleman St
Ste 203
Bismarck, ND 58503
Phone (701) 412-2973

1635 43rd St S
Ste 105
Fargo, ND 58103
Phone (701) 412-2973

3788 55th Ave S
Ste 205
Fargo, ND 58104
Phone (701) 205-4847

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": "1696377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1063292134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3788 55TH AVE S STE 205",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581045588",
            "telephone_number": "701-205-4847",
            "fax_number": "701-540-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3788 55TH AVE S STE 205",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581045588",
            "telephone_number": "701-205-4847",
            "fax_number": "701-540-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRNE",
        "first_name": "MARISSA",
        "middle_name": "ANN",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-04",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ND",
            "license": "R46167",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ND",
            "license": "R46167",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.