Active NPI
Joan Quam, APRN NP
- Adult Health Nurse Practitioner
- Fargo, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- R44324
- Practice address
- 1112 Nodak Dr S
Fargo, ND 58103-2333 - Phone
- (701) 232-6224
- Fax
- (701) 232-4687
- NPI assigned
- Dec 9, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | R44324 | ND | Primary |
Addresses
Primary practice location
1112 Nodak Dr S
Fargo, ND 58103-2333
Mailing address
2401 41St St S Ste 101
Fargo, ND 58104-7783
Phone (701) 551-6980
Other practice location 1
2401 41st St S Ste 101
Fargo, ND 58104-7783
Phone (701) 551-6980
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230201000979 | ND | Practitioner - Nurse Practitioner | 0143691006 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Valley Christian Counseling Center Inc
Practice addresses (Care Compare)
1112 Nodak Dr S
Fargo, ND 58103-2333
Phone (701) 232-6224
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.29 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 44.31
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R44324 | ND | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Pain Medicine, P.a. | Current | Accepting new patients | |
| Valley Christian Counseling Center Inc | Adult Health | Current | Accepting new patients |
| Big Stone Therapies Fargo, Inc | Past | Accepting new patients |
Locations
2401 41st St S
Ste 101
Fargo, ND 58104
Phone (701) 388-3947
2401 41st St S
Fargo, ND 58104
Phone (701) 478-7868
1112 Nodak Dr S
Fargo, ND 58103
Phone (701) 232-6224
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 and National Provider Directory roles.
-
- Professional Counselor
- Fargo, ND
- NPI 1467559427
Adult Health, ND
-
- Physical Therapy Clinic/Center
- Fargo, ND
- NPI 1194021873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732579200000",
"number": "1124739263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 41ST ST S STE 101",
"city": "FARGO",
"state": "ND",
"postal_code": "581047783",
"telephone_number": "701-551-6980",
"fax_number": "701-551-6984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1112 NODAK DR S",
"city": "FARGO",
"state": "ND",
"postal_code": "581032333",
"telephone_number": "701-232-6224",
"fax_number": "701-232-4687"
}
],
"practiceLocations": [
{
"address_1": "2401 41st St S Ste 101",
"address_purpose": "LOCATION",
"city": "Fargo",
"state": "ND",
"postal_code": "581047783",
"country_code": "US",
"telephone_number": "701-551-6980",
"fax_number": "701-551-6984",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUAM",
"first_name": "JOAN",
"credential": "APRN NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-09",
"last_updated": "2024-11-26",
"certification_date": "2024-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "ND",
"license": "R44324",
"primary": true
}
],
"identifiers": [],
"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 26, 2024; 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.