Active NPI
Tiffany D Swenson, PA-C
- Physician Assistant
- Fargo, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PAC0403
- Practice address
- 5257 27TH St S Ste 201
Fargo, ND 58104-7782 - Phone
- (701) 356-5503
- NPI assigned
- Oct 3, 2007
- Last updated
- Apr 28, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PAC0403 | ND | Primary |
| Physician Assistant | 363A00000X | 10357 | MN | |
| Medical Physician Assistant | 363AM0700X | PAC0403 | ND |
Addresses
Primary practice location
5257 27TH St S Ste 201
Fargo, ND 58104-7782
Mailing address
5257 27TH St S Ste 201
Fargo, ND 58104-7782
Phone (701) 356-5503
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0128334 | Other | MEDICA | |
| 30111 | Other | ND | BCBS |
| HP84398 | Other | HEALTH PARTNERS | |
| 325452000 | Medicaid | MN | |
| PENDING | Other | MN | MN BCBS |
| 1053111 | Other | PREFERRED ONE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Innovis Health LLC
Practice addresses (Care Compare)
1401 13TH Ave E
West Fargo, ND 58078-3468
Phone (701) 364-5751
208 Oppegard Ave NW
Twin Valley, MN 56584-4038
Phone (218) 584-5181
3000 32ND Ave S
Fargo, ND 58103-6132
Phone (701) 364-8000
3902 13TH Ave S
Suite 3704
Fargo, ND 58103-7512
Phone (701) 364-6600
4110 51St Ave S
Fargo, ND 58104-7776
Phone (701) 364-3100
4476 31St Ave S
Suite 101
Fargo, ND 58104-4532
Phone (701) 234-9400
4622 40TH Ave S
Suite a
Fargo, ND 58104-4394
Phone (701) 364-8900
5257 27TH St S
Suite 201
Fargo, ND 58104-7782
Phone (701) 356-5503
720 Main Ave
Moorhead, MN 56560-2752
Phone (218) 359-0399
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10357 | MN | MD | General Practice Dentistry |
| PAC0403 | ND | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovis Health LLC | Current | Accepting new patients | |
| Innovis Health LLC | Current | Accepting 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 | |
| St Marys Regional Health Center | Current | Accepting new patients | |
| Innovis Health LLC | Current | Accepting new patients | |
| St Mary's Regional Health Center | Current | Accepting new patients | |
| Tracie M Mallberg MD PC | Past | Accepting new patients | |
| Apex Physical Therapy and Wellness Center, PC | Past | Accepting new patients |
Locations
1027 Washington Ave
Detroit Lakes, MN 56501
Phone (218) 844-2300
414 W Jefferson Ave
Mahnomen, MN 56557
Phone (218) 935-2511
4000 28th Ave S
Moorhead, MN 56560
Phone (701) 234-3200
1103 1st St E
Park Rapids, MN 56470
Phone (218) 732-0542
208 Oppegard Ave NW
Twin Valley, MN 56584
Phone (218) 584-5181
1702 University Dr S
Fargo, ND 58103
Phone (701) 364-4222
1717 University Dr S
Fargo, ND 58103
Phone (701) 234-2305
2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800
2829 University Dr S
Ste 101
Fargo, ND 58103
Phone (701) 232-9000
3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-3000
1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445
1401 13th Ave E
West Fargo, ND 58078
Phone (701) 364-0060
Organizations & group practices 15
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.
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dba Essentia Health Casselton Clinic
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dba Essentia Health-Osgood Clinic
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-
dba Essentia Health 52nd Avenue Clinic
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dba Sanford Health Enderlin Clinic
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-
dba Sanford POWER Center
- General Acute Care Hospital
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-
dba Essentia Health St. Mary's-Frazee Clinic
- Rural Health Clinic/Center
- Frazee, MN
- NPI 1902364482
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777334400000",
"number": "1619164654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5257 27TH ST S STE 201",
"city": "FARGO",
"state": "ND",
"postal_code": "581047782",
"telephone_number": "701-356-5503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5257 27TH ST S STE 201",
"city": "FARGO",
"state": "ND",
"postal_code": "581047782",
"telephone_number": "701-356-5503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWENSON",
"first_name": "TIFFANY",
"middle_name": "D",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-03",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ND",
"license": "PAC0403",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "10357",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "ND",
"license": "PAC0403",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "0128334",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "30111",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP84398",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "325452000",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MN BCBS",
"identifier": "PENDING",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1053111",
"state": null
}
],
"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 Apr 28, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.