Individual provider Active NPI

Heidi Selzler-Echola, APRN

  • Obstetrics & Gynecology Nurse Practitioner
  • Fargo, ND
National Provider Identifier
1275001992
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
R41396 Issued in ND
Practice address
1411 32ND St S Ste 1
Fargo, ND 58103-6304
Phone
(701) 264-5200
NPI assigned
Nov 12, 2018
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X R41396 ND Primary

Addresses

Primary practice location

1411 32ND St S Ste 1
Fargo, ND 58103-6304

Mailing address

1411 32ND St S Ste 1
Fargo, ND 58103-6304

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190524002104 ND Practitioner - Nurse Practitioner 8224371729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Canopy Medical Clinic, PLLCGroup PAC ID 3678900016, 3 clinicians

Practice addresses (Care Compare)

1411 32ND St S
Suite 1
Fargo, ND 58103-6304
Phone (701) 264-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R41396NDMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Canopy Medical Clinic, PLLC CurrentSince Jan 13, 2020 Accepting new patients
Advocates for Change CurrentSince Dec 3, 2023 Accepting new patients

Locations

100 4th St S
Ste 608
Fargo, ND 58103
Phone (701) 234-0406

1411 32nd St S
Ste 1
Fargo, ND 58103
Phone (701) 235-8978

417 Main Ave
Ste 401
Fargo, ND 58103
Phone (701) 289-7676

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": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1275001992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 32ND ST S STE 1",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 32ND ST S STE 1",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036304",
            "telephone_number": "701-264-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELZLER-ECHOLA",
        "first_name": "HEIDI",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-12",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "ND",
            "license": "R41396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.