Active NPI
Aubrey Lynn Hess, PA
- Physician Assistant
- Fargo, ND
National Provider Identifier
1992012710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PAC0636
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 002142 | IA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dakota Adult & Pediatric Psychiatry | Current | 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.
-
- Psychiatry Physician
- Fargo, ND
- NPI 1255000170
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.