Individual provider Active NPI

Rachel Lucille Ulmer, CPNP-PC

  • Pediatric Nurse Practitioner
  • Fargo, ND
National Provider Identifier
1326675448
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
R33553 Issued in ND
Practice address
100 4TH St S
Fargo, ND 58103-1929
Phone
(701) 234-2000
NPI assigned
Mar 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X R33553 ND
Pediatric Nurse Practitioner 363LP0200X R33553 ND Primary

Addresses

Primary practice location

100 4TH St S
Fargo, ND 58103-1929

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Other practice location 1

316 Prairie Dr
Harwood, ND 58042-0015
Phone (701) 388-6035

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
I20240722003336 ND Practitioner - Nurse Practitioner 2769928183 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center Fargo CurrentSince Jun 24, 2024 Accepting new patients
Sanford Medical Center Fargo Pediatrics Current Accepting new patients
Sanford Medical Center Fargo CurrentSince Jun 24, 2024 Accepting new patients
Sanford Medical Center Fargo Past Accepting new patients

Locations

100 4th St S
Fargo, ND 58103
Phone (701) 234-4141

4656 40th Ave S
Ste 214
Fargo, ND 58104
Phone (701) 234-3725

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

Organizations & group practices 4

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": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1326675448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 4TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031929",
            "telephone_number": "701-234-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 Prairie Dr",
            "address_purpose": "LOCATION",
            "city": "Harwood",
            "state": "ND",
            "postal_code": "580420015",
            "country_code": "US",
            "telephone_number": "701-388-6035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ULMER",
        "first_name": "RACHEL",
        "middle_name": "LUCILLE",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ND",
            "license": "R33553",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "ND",
            "license": "R33553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.