Individual provider Active NPI

Rachel D Barnick, APRN, CNP

  • Family Nurse Practitioner
  • Fargo, ND
National Provider Identifier
1841817384
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2203494 Issued in ND
Practice address
510 4TH St S
Fargo, ND 58103-1914
Phone
(701) 476-7200
NPI assigned
Jul 1, 2020
Last updated
Nov 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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 2203494 ND Primary

Addresses

Primary practice location

510 4TH St S
Fargo, ND 58103-1914

Mailing address

510 4TH St S
Fargo, ND 58103-1914
Phone (701) 476-7288

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
I20210707003956 ND Practitioner - Nurse Practitioner 7810315447 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
Group practices
PSJ Acquisition LLCGroup PAC ID 7012062235, 26 clinicians

Practice addresses (Care Compare)

510 4TH St S
Fargo, ND 58103-1914
Phone (701) 476-7200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7474MNMDSpeech-Language Pathologist
2203494NDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PSJ Acquisition LLC CurrentSince Jun 1, 2021 Accepting new patients
PSJ Acquisition LLC CurrentSince Jun 1, 2021 Accepting new patients

Locations

510 4th St S
Fargo, ND 58103
Phone (701) 476-7200

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1841817384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 4TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031914",
            "telephone_number": "701-476-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 4TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031914",
            "telephone_number": "701-476-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNICK",
        "first_name": "RACHEL",
        "middle_name": "D",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-01",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "2203494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.