Individual provider Active NPI

Amanda Joy Liebersbach, APRN

  • Family Nurse Practitioner
  • Grand Forks, ND
National Provider Identifier
1215858725
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
205469 Issued in ND
Practice address
2860 10TH Ave N Ste 400
Grand Forks, ND 58203-2286
Phone
(800) 237-4629
NPI assigned
Jul 22, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 205469 ND Primary

Addresses

Primary practice location

2860 10TH Ave N Ste 400
Grand Forks, ND 58203-2286

Mailing address

24805 350TH Ave NW
Warren, MN 56762-9112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Red River Valley Health Care PC CurrentSince Aug 24, 2026 Accepting new patients
Hospice of the Red River Valley PastSince Aug 24, 2026 Accepting new patients

Locations

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1784678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1215858725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24805 350TH AVE NW",
            "city": "WARREN",
            "state": "MN",
            "postal_code": "567629112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 10TH AVE N STE 400",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582032286",
            "telephone_number": "800-237-4629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERSBACH",
        "first_name": "AMANDA",
        "middle_name": "JOY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-22",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "205469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

Verify at the official NPI Registry.