Individual provider Active NPI

Andrea Okerstrom, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fergus Falls, MN
National Provider Identifier
1689352056
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2276719 Issued in MN
Practice address
225 W Lincoln Ave Ste 104
Fergus Falls, MN 56537-2146
Phone
(218) 531-1424
Fax
(218) 531-1420
NPI assigned
Jul 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2276719 MN Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R52700 ND

Addresses

Primary practice location

225 W Lincoln Ave Ste 104
Fergus Falls, MN 56537-2146

Mailing address

225 W Lincoln Ave Ste 104
Fergus Falls, MN 56537-2146
Phone (218) 531-1424

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
I20241204002249 ND Practitioner - Nurse Practitioner 8729514591 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
Telehealth
Offers telehealth services
Group practices
St. Sophie'S LLCGroup PAC ID 7113195074, 9 clinicians

Practice addresses (Care Compare)

3201 33Rd S St
Fargo, ND 58104-8823

3201 33Rd St S
Fargo, ND 58104-8823

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Sophie'S, LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

3201 33rd St S
Fargo, ND 58104
Phone (701) 365-4467

1451 44th Ave S
Grand Forks, ND 58201
Phone (701) 766-7214

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": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1689352056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W LINCOLN AVE STE 104",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372146",
            "telephone_number": "218-531-1424",
            "fax_number": "218-531-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W LINCOLN AVE STE 104",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372146",
            "telephone_number": "218-531-1424",
            "fax_number": "218-531-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKERSTROM",
        "first_name": "ANDREA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-06",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "2276719",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ND",
            "license": "R52700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fergus Falls, MN

Sources for this page

Verify at the official NPI Registry.