Marc J Biggerstaff, P.A.
Individual provider Active NPI Physician Assistant · Fargo, ND
NPI 1922200724 · NPPES record last updated May 10, 2022
Key facts
- NPI
- 1922200724
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PAC0720 (ND)
- Practice address
- 1720 University Dr S
Fargo, ND 58103-4940 - Phone
- (701) 414-6000
- Fax
- (014) 146-1457
- NPI assigned
- Jun 4, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alegent Creighton Clinic
Practice addresses (Care Compare)
16101 Evans St
Omaha, NE 68116-6447
Phone (402) 717-9700
16901 Lakeside Hills CT
Omaha, NE 68130-2318
Phone (855) 524-4001
16909 Lakeside Hills CT
Omaha, NE 68130-4661
6901 N 72ND St
Omaha, NE 68122-1709
7500 Mercy Rd
Omaha, NE 68124-2319
Phone (402) 398-5580
7710 Mercy Rd
Omaha, NE 68124-2323
Hospital & facility affiliations
- CHI Health Lakeside
- CHI Health Bergan Mercy
- CHI Health Midlands
- CHI Health Immanuel
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NE, ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070821000177 | NE | Practitioner - Physician Assistant | 8527150606 | Reassigns benefits to 1 organization |
| I20180502002104 | ND | Practitioner - Physician Assistant | 8527150606 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1328 | NE | MD | Chiropractor |
| PAC0720 | ND | MD | Physician Assistant |
| 13003 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alegent Creighton Clinic | Current |
Accepting new patients | |
| Alegent Creighton Clinic | Physician Assistant | Past | Accepting new patients |
| Creighton University | Past | Accepting new patients |
Locations
2771 Solution Ctr
Chicago, IL 60677
7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248
7710 Mercy Rd
Ste 426
Omaha, NE 68124
Phone (402) 343-8650
16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920
7710 Mercy Rd
Ste 2000
Omaha, NE 68124
Phone (402) 717-0820
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1007 | NE | |
| Physician Assistant | 363A00000X | 13003 | MN | |
| Physician Assistant | 363A00000X | PAC0720 | ND | Yes |
Addresses
Primary practice location
1720 University Dr S
Fargo, ND 58103-4940
Mailing address
1720 University Dr S
Fargo, ND 58103-4940
Phone (701) 414-6000
Other practice location 1
323 S Minnesota St
Crookston, MN 56716-1601
Phone (218) 281-9595
Other providers in Fargo, ND
- Dennis E Bier
- Michelle Lee Bierdeman
- Christine Bietz
- Big Stone Therapies Fargo, Inc
- Tamra Sue Bigger
- Elena Zi Ming Bigliardi
- Beau Monte Billadeau
- Kara M Billing
- Paul R Bilstad
- Carrie Binde
All providers in Fargo, ND · Physician Assistant in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.