Individual provider Active NPI

Aubrey Lynn Hess, PA

  • Physician Assistant
  • Fargo, ND
National Provider Identifier
1992012710
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PAC0636 Issued in ND
Practice address
4541 52ND Ave S
Suite 100
Fargo, ND 58104
Phone
(701) 552-6578
Fax
(701) 380-5115
NPI assigned
Sep 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 002142 IA
Physician Assistant 363A00000X 0817 SD
Physician Assistant 363A00000X PAC0636 ND Primary

Addresses

Primary practice location

4541 52ND Ave S
Suite 100
Fargo, ND 58104

Mailing address

4541 52ND Ave S
Ste 100
Fargo, ND 58104-5565
Phone (701) 552-6578

Other names 1

  • Aubrey Lynn Gerhard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
002142IAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dakota Adult & Pediatric Psychiatry CurrentSince Feb 11, 2024 Accepting new patients

Locations

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

4541 52nd Ave S
#100
Fargo, ND 58104
Phone (701) 552-6578

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1992012710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4541 52ND AVE S",
            "address_2": "STE 100",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581045565",
            "telephone_number": "701-552-6578",
            "fax_number": "701-380-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4541 52ND AVE S",
            "address_2": "SUITE 100",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58104",
            "telephone_number": "701-552-6578",
            "fax_number": "701-380-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESS",
        "first_name": "AUBREY",
        "middle_name": "LYNN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-01",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "002142",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0817",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ND",
            "license": "PAC0636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUBREY",
            "last_name": "GERHARD",
            "middle_name": "LYNN",
            "credential": "MPAS, PA",
            "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 Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.