Individual provider Active NPI

Gretchen Anne Peters, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Fargo, ND
National Provider Identifier
1669085239
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R40507 Issued in ND
Practice address
3301 45TH St S
Fargo, ND 58104-8988
Phone
(701) 356-7546
NPI assigned
Aug 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R40507 ND Primary

Addresses

Primary practice location

3301 45TH St S
Fargo, ND 58104-8988

Mailing address

3301 45TH St S
Fargo, ND 58104-8988
Phone (701) 356-7546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3173 43Rd St S
Fargo, ND 58104-4564

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rachel Ness M.D., PLLC CurrentSince Jul 22, 2024 Accepting new patients
Legacy Primary Care PLLC Past Accepting new patients

Locations

3173 43rd St S
Ste A
Fargo, ND 58104
Phone (701) 478-8780

3173 43rd St S
Fargo, ND 58104
Phone (701) 478-8780

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1669085239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 45TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048988",
            "telephone_number": "701-356-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 45TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048988",
            "telephone_number": "701-356-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "GRETCHEN",
        "middle_name": "ANNE",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R40507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.