Individual provider Active NPI

Courtney Miller, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fargo, ND
National Provider Identifier
1790347268
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R40557 Issued in ND
Practice address
3523 45TH St S Ste 100
Fargo, ND 58104-8962
Phone
(701) 203-5247
Fax
(701) 203-2903
NPI assigned
Jul 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R40557 ND Primary

Addresses

Primary practice location

3523 45TH St S Ste 100
Fargo, ND 58104-8962

Mailing address

712 Parkway Dr
Wahpeton, ND 58075-3734
Phone (701) 671-8422

Other practice location 1

712 Parkway Dr
Wahpeton, ND 58075-3734
Phone (701) 671-8422

Other names 1

  • Courtney Naastad Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, TX, MN3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20190916003181 ND Practitioner - Nurse Practitioner 2062741077 Reassigns benefits to 1 organization
I20200831000996 TX Practitioner - Nurse Practitioner 2062741077 Reassigns benefits to 1 organization
I20200923002578 MN Practitioner - Nurse Practitioner 2062741077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Miller Psychiatric Care PLLCGroup PAC ID 9931566379, 2 clinicians

Practice addresses (Care Compare)

1433 Mendenhall Ave
Breckenridge, MN 56520-1821

202 N Cedar Ave
Suite 1
Owatonna, MN 55060-2306
Phone (701) 203-5247

3523 45TH St S
Fargo, ND 58104-8962

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R40557NDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Bay Area Health Corportion Current Accepting new patients
Miller Psychiatric Care PLLC Psychiatric/Mental Health CurrentSince Mar 1, 2023 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Dec 22, 2021 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corportation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Dec 22, 2021 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients

Locations

3523 45th St S
Fargo, ND 58104
Phone (701) 747-9701

Organizations & group practices 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1790347268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 PARKWAY DR",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "580753734",
            "telephone_number": "701-671-8422",
            "fax_number": "701-671-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3523 45TH ST S STE 100",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048962",
            "telephone_number": "701-203-5247",
            "fax_number": "701-203-2903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "712 Parkway Dr",
            "address_purpose": "LOCATION",
            "city": "Wahpeton",
            "state": "ND",
            "postal_code": "580753734",
            "country_code": "US",
            "telephone_number": "701-671-8422",
            "fax_number": "701-671-8126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "COURTNEY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ND",
            "license": "R40557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "NAASTAD",
            "credential": "PMHNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.