Audrey Eckes, WHNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

R22259 Issued in ND

Practice address

1240 25TH St S
Fargo, ND 58103-2367

Phone

(701) 241-1360

NPI assigned

Oct 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Nurse Practitioner

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• City of Fargo

  • Non-Surgical Family Planning Clinic/Center
  • Fargo, ND
  • NPI 1447335245
  Medicare reassignment NPD
• City of Fargo

  • State or Local Public Health Clinic/Center
  • Fargo, ND
  • NPI 1891879839
  NPD

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444262400000",
    "number": "1750466801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 25TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032367",
            "telephone_number": "701-241-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 25TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032367",
            "telephone_number": "701-241-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKES",
        "first_name": "AUDREY",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2015-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "ND",
            "license": "R22259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "15458",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "167M8EC",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "312516500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ebsen Counseling Services, PLLC
• Teni Ebsen, LPC, LAPC
• Skyler Eck
• Carlee J Eckart, LAC
• Brayden Ernest Ecker
• Nikki J Eckman, CRNA
• Mackenzie Eckre
• Krystal Leigh Eckstein, O.D.
• Kelly Economon
• Ecumen

• Women's Health Nurse Practitioner in Fargo, ND
• Providers in Fargo, ND by specialty
• Women's Health Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.

Verify at the official NPI Registry.