Individual provider Active NPI

Rebecca Doleman, APRN

  • Family Nurse Practitioner
  • Fargo, ND
National Provider Identifier
1215366943
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP124654 Issued in TX
Practice address
3800 56TH Ave S
Fargo, ND 58104-6706
Phone
(701) 356-1500
Fax
(701) 356-1603
NPI assigned
Nov 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 13504 MN
Family Nurse Practitioner 363LF0000X AP124654 TX Primary
Family Nurse Practitioner 363LF0000X 203100 ND

Addresses

Primary practice location

3800 56TH Ave S
Fargo, ND 58104-6706

Mailing address

3800 56TH Ave S
Fargo, ND 58104-6706
Phone (701) 356-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20251028002105 MN Practitioner - Nurse Practitioner 0648571125

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3800 56TH Ave S
Fargo, ND 58104-6706

PO Box
Suite 1060
Uniontown, OH 44685

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13504MNMDPhysician Assistant
203100NDMDFamily Nurse Practitioner
AP124654TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Red River Valley Health Care PC CurrentSince Oct 10, 2025 Accepting new patients
Palliconsults, LLC Family Current Accepting new patients
Hospice of the Red River Valley PastSince Oct 10, 2025 Accepting new patients

Locations

1111 Highway 10 E
Detroit Lakes, MN 56501
Phone (701) 356-1500

3800 56th Ave S
Fargo, ND 58104
Phone (701) 356-1500

1701 38th St SW
Ste 101
Fargo, ND 58103
Phone (701) 356-1500

Interoperability endpoints

  • Direct secure messaging: rebecca.doleman@cfdp.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1215366943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 56TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581046706",
            "telephone_number": "701-356-1500",
            "fax_number": "701-356-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 56TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581046706",
            "telephone_number": "701-356-1500",
            "fax_number": "701-356-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLEMAN",
        "first_name": "REBECCA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "13504",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP124654",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "203100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.