Individual provider Active NPI

Laura M Fuerstenberg, FNP-C

  • Nurse Practitioner
  • Bismarck, ND
National Provider Identifier
1619912326
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R24678 Issued in ND
Practice address
2700 State St
Bismarck, ND 58503-0669
Phone
(701) 712-4500
Fax
(701) 712-4098
NPI assigned
Jun 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R24678 ND Primary

Addresses

Primary practice location

2700 State St
Bismarck, ND 58503-0669

Mailing address

401 N 9TH St
Bismarck, ND 58501-4507
Phone (701) 712-4500

Other identifiers 1

IdentifierTypeStateIssuer
19592MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110719000816 ND Practitioner - Nurse Practitioner 4981872843 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovis Health LLCGroup PAC ID 9931298155, 561 clinicians

Practice addresses (Care Compare)

2700 State St
Suite A2
Bismarck, ND 58503-0669
Phone (701) 712-4500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R24678NDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Innovis Health, LLC Current Accepting new patients
Mid Dakota Clinic, Inc. CurrentSince Jun 2, 2011 Accepting new patients
Innovis Health LLC CurrentSince Oct 1, 2022 Accepting new patients
Innovis Health LLC CurrentSince Oct 1, 2022 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

2700 State St
Bismarck, ND 58503
Phone (701) 221-9152

2700 State St
Ste A2
Bismarck, ND 58503
Phone (701) 712-4500

2700 State St
Ste 1
Bismarck, ND 58503
Phone (701) 712-4237

401 N 9th St
Bismarck, ND 58501
Phone (701) 530-6000

3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-3000

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1619912326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N 9TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014507",
            "telephone_number": "701-712-4500",
            "fax_number": "701-712-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 STATE ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030669",
            "telephone_number": "701-712-4500",
            "fax_number": "701-712-4098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUERSTENBERG",
        "first_name": "LAURA",
        "middle_name": "M",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ND",
            "license": "R24678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19592",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.