Trevor Dennis Stavig, NP-C
Individual provider Active NPI Nurse Practitioner · Fargo, ND
NPI 1972066256 · NPPES record last updated Mar 18, 2026
Key facts
- NPI
- 1972066256
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- R38941 (ND)
- Practice address
- 3345 39TH St S Ste 1
Fargo, ND 58104-7539 - Phone
- (877) 522-1275
- Fax
- (833) 888-7145
- NPI assigned
- Apr 12, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jacobson Memorial Hospital Care Center
Practice addresses (Care Compare)
215 3Rd Ave W
Richardton, ND 58652-7109
Phone (701) 974-3372
601 E St N
Elgin, ND 58533-7105
603 E St N
Elgin, ND 58533-7105
Phone (701) 584-3338
Hospital & facility affiliations
- Jacobson Memorial Hospital Care Center
- Sanford Medical Center Bismarck
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in 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 |
|---|---|---|---|---|
| I20191107000499 | ND | Practitioner - Nurse Practitioner | 0244662567 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R38941 | ND | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacobson Memorial Hospital Care Center | Current | Accepting new patients | |
| Jacobson Memorial Hospital Care Center | Current |
Accepting new patients | |
| Jacobson Memorial Hospital Care Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R38941 | ND | Yes |
| Family Nurse Practitioner | 363LF0000X | R38941 | ND |
Addresses
Primary practice location
3345 39TH St S Ste 1
Fargo, ND 58104-7539
Mailing address
820 Lohstreter Rd
Mandan, ND 58554-2302
Phone (701) 527-3226
Other practice location 1
701 E Rosser Ave
Bismarck, ND 58501-4457
Phone (701) 323-6815
Other practice location 2
601 East St N
Elgin, ND 58533-7105
Phone (701) 584-2792
Other providers in Fargo, ND
- Robert F Startz
- Jessica Staska
- Andrew John Stasko
- Douglas John Stavenger
- Jeffrey Paul Stavenger
- Kelsey R Stay
- Michael Grant Stearns
- Williams G Stearns
- Christin Saline Stebe
- Natalie Jean Steblay
All providers in Fargo, ND · Nurse Practitioner 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 Mar 18, 2026. 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.