Active NPI
Melissa R Erdmann, FNP
- Family Nurse Practitioner
- Fargo, ND
National Provider Identifier
1992727481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R28446
- Practice address
- 3274 51St St S
Fargo, ND 58104-7179 - Phone
- (701) 364-3660
- Fax
- (701) 364-3661
- NPI assigned
- Jul 24, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R1539486 | MN | |
| Nurse Practitioner | 363L00000X | R28446 | ND | |
| Family Nurse Practitioner | 363LF0000X | R28446 | ND | Primary |
Addresses
Primary practice location
3274 51St St S
Fargo, ND 58104-7179
Mailing address
3274 51St St S
Fargo, ND 58104-7179
Phone (701) 364-3660
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-27214 | Other | MEDICA | |
| 28201 | Other | ND | BLUE CROSS BLUE SHIELD |
| 19785 | Medicaid | ND | |
| HP49296 | Other | HEALTHPARTNERS | |
| B20861043118 | Other | PREFERRED ONE | |
| 924G5ER | Other | MN | BLUE CROSS BLUE SHIELD |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050208000638 | ND | Practitioner - Nurse Practitioner | 5799741849 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tracie M Mallberg MD PC | Past | Accepting new patients | |
| Red River Family Medicine, PC | Family | Past | Accepting new patients |
| Apex Physical Therapy and Wellness Center, PC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Physical Therapy Clinic/Center
- West Fargo, ND
- NPI 1417109059
-
- Primary Care Clinic/Center
- West Fargo, ND
- NPI 1023282969
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Bemidji, MN
- NPI 1093876922
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Stellar Healthcare, LTD
Practice addresses (Care Compare)
3274 51St St S
Fargo, ND 58104-7179
Phone (701) 364-3660
Hospital & facility affiliations
- Sanford Medical Center Fargo
- Essentia Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620691200000",
"number": "1992727481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3274 51ST ST S",
"city": "FARGO",
"state": "ND",
"postal_code": "581047179",
"telephone_number": "701-364-3660",
"fax_number": "701-364-3661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3274 51ST ST S",
"city": "FARGO",
"state": "ND",
"postal_code": "581047179",
"telephone_number": "701-364-3660",
"fax_number": "701-364-3661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERDMANN",
"first_name": "MELISSA",
"middle_name": "R",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2021-05-11",
"certification_date": "2021-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "R1539486",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ND",
"license": "R28446",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ND",
"license": "R28446",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "1-27214",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "28201",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "19785",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP49296",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "B20861043118",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "924G5ER",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}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 May 11, 2021; 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.