Active NPI
Brenda Rick, APRN
- Family Nurse Practitioner
- Fargo, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R23084
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovis Health LLC | Current | Accepting new patients | |
| Lisbon Area Health Services | Current | Accepting new patients | |
| Lisbon Area Health Services | Current | Accepting new patients | |
| Innovis Health LLC | Current | Accepting new patients | |
| St. Francis Medical Center | Current | Accepting new patients | |
| Innovis Health LLC | Current | Accepting new patients | |
| Innovis Health, LLC | Current | Accepting new patients | |
| St. Francis Medical Center | Current | Accepting new patients | |
| Innovis Health, LLC. | Current | 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.
-
- Clinic/Center
- Lisbon, ND
- NPI 1811168958
-
- Critical Access Hospital
- Breckenridge, MN
- NPI 1639162381
-
- Critical Access Hospital
- Breckenridge, MN
- NPI 1891954574
-
- Multi-Specialty Clinic/Center
- Fargo, ND
- NPI 1144776576
-
- Family Medicine Physician
- Fargo, ND
- NPI 1255677084
-
- General Acute Care Hospital
- Fargo, ND
- NPI 1215125463
-
- Family Medicine Physician
- Lisbon, ND
- NPI 1043490790
-
- Clinic/Center
- Lisbon, ND
- NPI 1184051971
-
- Family Medicine Physician
- Moorhead, MN
- NPI 1659617504
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fargo, ND
- NPI 1245519081
-
- General Acute Care Hospital
- Fargo, ND
- NPI 1528009412
-
- Ambulatory Surgical Clinic/Center
- Bemidji, MN
- NPI 1093876922
Hospital
-
- Critical Access Hospital
- Breckenridge, MN
- NPI 1639162381
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.