Individual provider Active NPI

Abigail Ruby Andersen, FNP-C

  • Primary Care Nurse Practitioner
  • Oakes, ND
National Provider Identifier
1639046311
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
203629 Issued in ND
Practice address
1200 N 7TH St
Oakes, ND 58474-2502
Phone
(701) 742-3291
NPI assigned
Oct 20, 2025
Last updated
Oct 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 203629 ND Primary

Addresses

Primary practice location

1200 N 7TH St
Oakes, ND 58474-2502

Mailing address

1200 N 7TH St
Oakes, ND 58474-2502
Phone (701) 742-3291

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
I20251217004036 ND Practitioner - Nurse Practitioner 5991290934 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakes Community HospitalGroup PAC ID 3678484722, shared by 4 NPIs, 10 clinicians

Practice addresses (Care Compare)

1200 N 7 St
Oakes, ND 58474-2502
Phone (701) 742-3600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
203629NDMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lisbon Area Health Services CurrentSince Dec 8, 2025 Accepting new patients
Oakes Community Hospital CurrentSince Dec 8, 2025 Accepting new patients
Oakes Community Hospital CurrentSince Dec 8, 2025 Accepting new patients
Lisbon Area Health Services CurrentSince Dec 8, 2025 Accepting new patients

Locations

3276 Solutions Ctr
Chicago, IL 60677

1200 N 7th St
Oakes, ND 58474
Phone (701) 742-3291

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1760918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1639046311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N 7TH ST",
            "city": "OAKES",
            "state": "ND",
            "postal_code": "584742502",
            "telephone_number": "701-742-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N 7TH ST",
            "city": "OAKES",
            "state": "ND",
            "postal_code": "584742502",
            "telephone_number": "701-742-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "ABIGAIL",
        "middle_name": "RUBY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "ND",
            "license": "203629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakes, ND

Sources for this page

Verify at the official NPI Registry.