Shelby A Terstriep, M.D.
Individual provider Active NPI Hematology & Oncology Physician · Fargo, NC
NPI 1578536728 · NPPES record last updated Nov 14, 2019
Key facts
- NPI
- 1578536728
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- License
- 10689 (ND)
- Practice address
- 820 4 Street North
Fargo, NC 58122 - Phone
- (701) 234-2397
- Fax
- (701) 234-3861
- NPI assigned
- Feb 8, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Hematology/Oncology
- Education
- University of Missouri, Kansas City, School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Sanford Medical Center Fargo
Practice addresses (Care Compare)
1000 Coney St W
Perham, MN 56573-2102
Phone (218) 347-1200
1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445
1412 Main St
Hawley, MN 56549
Phone (218) 483-3564
21 Wiley Ave S
Lidgerwood, ND 58053-4001
Phone (701) 538-4189
300 2ND Ave NE
Jamestown, ND 58401-3373
Phone (701) 251-6000
5225 23Rd Ave S
Fargo, ND 58104-7927
Phone (701) 417-2575
618 14TH Ave NE
Devils Lake, ND 58301-2808
Phone (701) 544-7000
801 Broadway N
Fargo, ND 58102-3641
Phone (701) 234-2000
820 4TH St N
Fargo, ND 58102-4539
Phone (701) 234-6161
Hospital & facility affiliations
- Sanford Home Care Fargo
- Sanford Medical Center Fargo
- Jamestown Regional Medical Center
- Perham Health
- Carrington Health Center
- Sanford Bemidji Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.39 of 100
- Quality
- 91.62
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 66.36
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.73 of 100
- Quality
- 71.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.68
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN, ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040623001627 | MN | Practitioner - Hematology/Oncology |
5496730210 | Reassigns benefits to 1 organization |
| I20071211000029 | ND | Practitioner - Hematology/Oncology | 5496730210 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10689 | ND | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Medical Center Fargo | Current |
Accepting new patients | |
| Lutheran Charity Association | Current | Accepting new patients | |
| Lutheran Charity Association | Current | Accepting new patients | |
| Lutheran Charity Association | Current |
Accepting new patients | |
| Sanford Medical Center Fargo | Current |
Accepting new patients | |
| Lutheran Charity Association | Current |
Accepting new patients | |
| Lutheran Charity Association | Past | Accepting new patients |
Locations
820 4th St N
Fargo, ND 58102
Phone (701) 234-6161
2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800
2422 20th St SW
Jamestown, ND 58401
Phone (701) 252-1050
1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 44845 | MN | |
| Medical Oncology Physician | 207RX0202X | 10689 | ND | |
| Hematology & Oncology Physician | 207RH0003X | 10689 | ND | Yes |
Addresses
Primary practice location
820 4 Street North
Fargo, NC 58122
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0T949TE | Other | MN | MN BCBS |
| 1052299 | Other | PREFERREDONE | |
| 14402 | Medicaid | ND | |
| 28864 | Other | ND | ND BCBS |
| 3600840 | Other | MEDICA | |
| 350433600 | Medicaid | MN | |
| HEALTHPARTNERS | Other | HP62138 |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.