Individual provider Active NPI

Leah Marie Wolden, DNP, APRN, FNP-C

  • Nurse Practitioner
  • Fargo, ND
National Provider Identifier
1689350712
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F06230395 Issued in ND
Practice address
3173 43Rd St S
Fargo, ND 58104-4563
Phone
(701) 478-8780
NPI assigned
Jun 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 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 F06230395 ND Primary

Addresses

Primary practice location

3173 43Rd St S
Fargo, ND 58104-4563

Mailing address

3173 43Rd St S
Fargo, ND 58104-4563
Phone (701) 478-8780

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
I20231011000120 ND Practitioner - Nurse Practitioner 1951756907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rachel Ness MD PLLCGroup PAC ID 0749353365, 5 clinicians

Practice addresses (Care Compare)

3173 43Rd St S
Suite a
Fargo, ND 58104-4564
Phone (701) 478-8780

Merit-based Incentive Payment System (MIPS)

Final score
90.27 of 100Reported as group
Quality
86.13
Promoting interoperability
93
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F06230395NDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rachel Ness M.D., PLLC CurrentSince Sep 11, 2023 Accepting new patients

Locations

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

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

Interoperability endpoints

  • Direct secure messaging: lwolden@fargoderm.emadirect.md

Organizations & group practices 1

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": "1687478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1689350712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3173 43RD ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044563",
            "telephone_number": "701-478-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3173 43RD ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044563",
            "telephone_number": "701-478-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLDEN",
        "first_name": "LEAH",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-23",
        "last_updated": "2023-09-22",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ND",
            "license": "F06230395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.