Individual provider Active NPI

Stephanie A Akers, DNP, APRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Moorhead, MN
National Provider Identifier
1609443597
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9916 Issued in MN
Practice address
1132 28TH Ave S Ste 102
Moorhead, MN 56560-4420
Phone
(218) 512-0630
Fax
(218) 673-3529
NPI assigned
Jun 8, 2021
Last updated
Sep 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R43355 ND
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R43355 ND
Registered Nurse 163W00000X 2468394 MN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9916 MN Primary

Addresses

Primary practice location

1132 28TH Ave S Ste 102
Moorhead, MN 56560-4420

Mailing address

1132 28TH Ave S Ste 102
Moorhead, MN 56560-4420
Phone (218) 512-0630

Other names 1

  • Stephanie A Fourniea Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220822001632 ND Practitioner - Nurse Practitioner 3274916473 Reassigns benefits to 1 organization
I20241015002706 MN Practitioner - Nurse Practitioner 3274916473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Minnesota Medical School, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
SLV Group LLCGroup PAC ID 2466821251, 5 clinicians

Practice addresses (Care Compare)

1132 28TH Ave S
Suite 102
Moorhead, MN 56560-4420
Phone (218) 512-0630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2468394MNMDRegistered Nurse
9916MNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SLV Group, LLC Psychiatric/Mental Health CurrentSince Aug 1, 2024 Accepting new patients
St. Sophie's, LLC CurrentSince Aug 9, 2022 Accepting new patients

Locations

1132 28th Ave S
Ste 102
Moorhead, MN 56560
Phone (218) 227-5376

3201 33rd St S
Fargo, ND 58104
Phone (701) 365-4467

1451 44th Ave S
Grand Forks, ND 58201
Phone (701) 766-7214

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": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1609443597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 28TH AVE S STE 102",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565604420",
            "telephone_number": "218-512-0630",
            "fax_number": "218-673-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 28TH AVE S STE 102",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565604420",
            "telephone_number": "218-512-0630",
            "fax_number": "218-673-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKERS",
        "first_name": "STEPHANIE",
        "middle_name": "A",
        "credential": "DNP, APRN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ND",
            "license": "R43355",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ND",
            "license": "R43355",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2468394",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "9916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "FOURNIEA",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Moorhead, MN

Sources for this page

Verify at the official NPI Registry.