Active NPI
Vanessa Renise Walker, NP
- Nurse Practitioner
- Fargo, ND
National Provider Identifier
1972068484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R40252
- Practice address
- 2400 32ND Ave S
Fargo, ND 58103-5800 - Phone
- (701) 234-2000
- NPI assigned
- Feb 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R40252 | ND | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | R40252 | ND |
Addresses
Primary practice location
2400 32ND Ave S
Fargo, ND 58103-5800
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Phone (701) 234-2000
Other practice location 1
3000 32nd Ave S
Fargo, ND 58103-6132
Phone (017) 364-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AG02190071 | Other | CERTIFICATION NUMBER |
Other names 1
- Vanessa Polries
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445
2400 32ND Ave S
Fargo, ND 58103-5800
Phone (701) 234-2000
618 14TH Ave NE
Devils Lake, ND 58301-2808
Phone (701) 544-7000
69 Hwy 13 W
Gwinner, ND 58040-4127
Phone (701) 678-2263
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Past | Accepting new patients |
Locations
1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445
Organizations & group practices 3
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.
-
- Family Medicine Physician
- West Fargo, ND
- NPI 1184917924
-
- Rural Health Clinic/Center
- Ellendale, ND
- NPI 1346256682
-
- Home Health Agency
- Fargo, ND
- NPI 1891861761
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fargo, ND
- NPI 1215125463
-
- General Acute Care Hospital
- Fargo, ND
- NPI 1245519081
-
- General Acute Care Hospital
- Fargo, ND
- NPI 1528009412
-
- Ambulatory Surgical Clinic/Center
- Bemidji, MN
- NPI 1093876922
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757635200000",
"number": "1972068484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074",
"telephone_number": "701-234-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 32ND AVE S",
"city": "FARGO",
"state": "ND",
"postal_code": "581035800",
"telephone_number": "701-234-2000"
}
],
"practiceLocations": [
{
"address_1": "3000 32nd Ave S",
"address_purpose": "LOCATION",
"city": "Fargo",
"state": "ND",
"postal_code": "581036132",
"country_code": "US",
"telephone_number": "017-364-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALKER",
"first_name": "VANESSA",
"middle_name": "RENISE",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-08",
"last_updated": "2025-09-12",
"certification_date": "2025-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ND",
"license": "R40252",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "ND",
"license": "R40252",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFICATION NUMBER",
"identifier": "AG02190071",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VANESSA",
"last_name": "POLRIES",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.