Active NPI
Heidi M Olson-Fitzgerald, PAC
- Physician Assistant
- Fargo, ND
National Provider Identifier
1528094943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PAC0178
- Practice address
- 1800 21St Ave S
Fargo, ND 58103-5759 - Phone
- (701) 365-8700
- Fax
- (701) 365-8701
- NPI assigned
- Jun 25, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9250 | MN | |
| Physician Assistant | 363A00000X | PAC0178 | ND | Primary |
Addresses
Primary practice location
1800 21St Ave S
Fargo, ND 58103-5759
Mailing address
PO Box 3363
Omaha, NE 68103-0363
Phone (701) 356-5503
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07Q72OL | Other | ND | MNBS # |
| 45G88OL | Other | ND | MNBS # |
| 73A60OL | Other | ND | MNBS # |
| 1528094943 | Medicaid | MN | |
| 838S6OL | Other | MN | MNBS # |
| 752287800 | Medicaid | ND | |
| 0118270 | Other | ND | MEDICA # |
| 137064 | Other | ND | UCARE # |
| 0118265 | Other | ND | MEDICA # |
| 0118267 | Other | ND | MEDICA # |
| DA9011015571 | Other | ND | PREFERRED ONE # |
| HP25814 | Other | ND | HEALTHPARTNERS # |
| 24553 | Other | ND | NDBS # |
| 975263 | Other | ND | AMERICA'S PPO/ARAZ # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9250 | MN | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Dakota Clinic, LTD. | Past | Accepting new patients | |
| Catalyst Medical Center PC | Past | Accepting new patients |
Locations
1027 Washington Ave
Detroit Lakes, MN 56501
Phone (218) 844-2300
4000 28th Ave S
Moorhead, MN 56560
Phone (701) 234-3200
2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800
1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FEBJBD
Organizations & group practices 6
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.
-
- Procedural Dermatology Physician
- Fargo, ND
- NPI 1730710229
-
- General Acute Care Hospital
- Fargo, ND
- NPI 1528009412
-
- Rural Health Clinic/Center
- Ulen, MN
- NPI 1801818497
-
- Otolaryngology Physician
- Fargo, ND
- NPI 1043378268
-
- Clinical Medical Laboratory
- Fargo, ND
- NPI 1740220391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753401600000",
"number": "1528094943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3363",
"city": "OMAHA",
"state": "NE",
"postal_code": "681030363",
"telephone_number": "701-356-5503",
"fax_number": "701-364-9781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 21ST AVE S",
"city": "FARGO",
"state": "ND",
"postal_code": "581035759",
"telephone_number": "701-365-8700",
"fax_number": "701-365-8701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON-FITZGERALD",
"first_name": "HEIDI",
"middle_name": "M",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-25",
"last_updated": "2025-07-25",
"certification_date": "2025-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "9250",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ND",
"license": "PAC0178",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MNBS #",
"identifier": "07Q72OL",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MNBS #",
"identifier": "45G88OL",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MNBS #",
"identifier": "73A60OL",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1528094943",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MNBS #",
"identifier": "838S6OL",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "752287800",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA #",
"identifier": "0118270",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE #",
"identifier": "137064",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA #",
"identifier": "0118265",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA #",
"identifier": "0118267",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE #",
"identifier": "DA9011015571",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS #",
"identifier": "HP25814",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NDBS #",
"identifier": "24553",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICA'S PPO/ARAZ #",
"identifier": "975263",
"state": "ND"
}
],
"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 Jul 25, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.