Stephanie A Akers, DNP, APRN, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Moorhead, MN
NPI 1609443597 · NPPES record last updated Sep 12, 2024
Key facts
- NPI
- 1609443597
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 9916 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Minnesota Medical School, 2022
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- SLV Group LLC
Practice addresses (Care Compare)
1132 28TH Ave S
Suite 102
Moorhead, MN 56560-4420
Phone (218) 512-0630
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ND, MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220822001632 | ND | Practitioner - Nurse Practitioner | 3274916473 | Reassigns benefits to 1 organization |
| I20241015002706 | MN | Practitioner - Nurse Practitioner | 3274916473 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9916 | MN | MD | Psychiatric/Mental Health Nurse Practitioner |
| R43355 | ND | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Sophie'S, LLC | Current |
Accepting new patients | |
| SLV Group, LLC | Psychiatric/Mental Health | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 | Yes |
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
- Stephanie A Fourniea
Other providers in Moorhead, MN
- Eunice Afua Addai
- Mohamednoor Aden
- Aegis Therapies
- Faiza Gbemisola Agiri
- Mohamed Ahmed
- Jay Michael Albrecht
- Ellen Albright
- Lauren Alderink
- Hani Ali
- Iqra Ali
All providers in Moorhead, MN · Psychiatric/Mental Health Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2024. 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.