Individual provider Active NPI

Brenda Rick, APRN

  • Family Nurse Practitioner
  • Fargo, ND
National Provider Identifier
1720273436
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R23084 Issued in ND
Practice address
4622 40TH Ave S
Fargo, ND 58104
Phone
(701) 232-6211
NPI assigned
Sep 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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 R23084 ND Primary

Addresses

Primary practice location

4622 40TH Ave S
Fargo, ND 58104

Mailing address

1517 32ND Ave S
Fargo, ND 58103-5905
Phone (701) 232-6211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090219000525 ND Practitioner - Nurse Practitioner 9830254184 Reassigns benefits to 1 organization
I20100223000838 MN Practitioner - Nurse Practitioner 9830254184 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4622 40TH Ave S
Fargo, ND 58104-4394

720 Main Ave
Moorhead, MN 56560-2752

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Innovis Health LLC Current Accepting new patients
Lisbon Area Health Services CurrentSince Jun 1, 2020 Accepting new patients
Lisbon Area Health Services Current Accepting new patients
Innovis Health LLC CurrentSince Mar 29, 2017 Accepting new patients
St. Francis Medical Center Current Accepting new patients
Innovis Health LLC CurrentSince Mar 29, 2017 Accepting new patients
Innovis Health, LLC Current Accepting new patients
St. Francis Medical Center CurrentSince Dec 20, 2013 Accepting new patients
Innovis Health, LLC. CurrentSince Mar 30, 2017 Accepting new patients

Locations

3276 Solutions Ctr
Chicago, IL 60677

3293 Solutions Ctr
Chicago, IL 60677

2400 St Francis Dr
Breckenridge, MN 56520
Phone (218) 643-0226

1361 Wenner Rd
Detroit Lakes, MN 56501
Phone (218) 396-6500

720 Main Ave
Moorhead, MN 56560
Phone (218) 359-0399

208 Oppegard Ave NW
Twin Valley, MN 56584
Phone (218) 584-5181

1100 19th Ave N
Ste Lm
Fargo, ND 58102
Phone (701) 364-2909

1517 32nd Ave S
Fargo, ND 58103
Phone (701) 232-6211

4622 40th Ave S
Fargo, ND 58104
Phone (701) 232-6211

4622 40th Ave S
#7
Fargo, ND 58104
Phone (701) 364-2909

3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-3000

Organizations & group practices 9

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.

Hospital & facility affiliations 6

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": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189036800000",
    "number": "1720273436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 32ND AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581035905",
            "telephone_number": "701-232-6211",
            "fax_number": "701-364-9346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4622 40TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58104",
            "telephone_number": "701-232-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICK",
        "first_name": "BRENDA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R23084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.