Active NPI
Joshua Wutzke
- Peer Specialist
- Fargo, ND
National Provider Identifier
1659250850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 417 Main Ave Ste 401
Fargo, ND 58103-1956 - Phone
- (701) 289-7676
- NPI assigned
- Sep 1, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
417 Main Ave Ste 401
Fargo, ND 58103-1956
Mailing address
417 Main Ave Ste 401
Fargo, ND 58103-1956
Phone (701) 289-7676
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocates for Change | Current | Accepting new patients | |
| Community Uplift Program | Current | Accepting new patients |
Locations
417 Main Ave
Ste 401
Fargo, ND 58103
Phone (701) 289-7676
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Fargo, ND
- NPI 1831965748
-
- Family Medicine Physician
- Fargo, ND
- NPI 1538661384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756684800000",
"number": "1659250850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 MAIN AVE STE 401",
"city": "FARGO",
"state": "ND",
"postal_code": "581031956",
"telephone_number": "701-289-7676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 MAIN AVE STE 401",
"city": "FARGO",
"state": "ND",
"postal_code": "581031956",
"telephone_number": "701-289-7676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WUTZKE",
"first_name": "JOSHUA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-01",
"last_updated": "2025-09-01",
"certification_date": "2025-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Sep 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.