Mr Nicholas Henry Frederiksen, APRN,CNP | |
3000 32nd Ave S, Fargo, ND 58103-6132 | |
(701) 364-8000 | |
(701) 364-8078 |
Full Name | Mr Nicholas Henry Frederiksen |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 3000 32nd Ave S, Fargo, North Dakota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013319334 | NPI | - | NPPES |
1463647 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | R41352 (North Dakota) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | R41352 (North Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Essentia Health | Fargo, ND | Hospital |
Essentia Health St Marys - Detroit Lakes | Detroit lakes, MN | Hospital |
Lake Region Healthcare Corporation | Fergus falls, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Innovis Health Llc | 9931298155 | 478 |
Entity Name | Innovis Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215125463 PECOS PAC ID: 9931298155 Enrollment ID: O20071211000158 |
Mailing Address | Practice Location Address |
---|---|
Mr Nicholas Henry Frederiksen, APRN,CNP Po Box 6001, Fargo, ND 58108-6001 Ph: (701) 364-8000 | Mr Nicholas Henry Frederiksen, APRN,CNP 3000 32nd Ave S, Fargo, ND 58103-6132 Ph: (701) 364-8000 |
Wendy M Moore, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 901 28th St S, Fargo, ND 58103 Phone: 701-404-1100 Fax: 701-540-6498 | |
Mrs. Kayla L. Nelson, DNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Np Ave N, Fargo, ND 58102 Phone: 701-271-3344 | |
Kyrie Marie Severson, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4622 40th Ave S, Suite A, Fargo, ND 58104 Phone: 701-364-2909 Fax: 701-364-9822 | |
Jessica Smolen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 321 8th Ave N, Fargo, ND 58102 Phone: 701-234-2525 | |
Mary Omer Habib, APRN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4622 40th Ave S Ste A, Fargo, ND 58104 Phone: 218-364-8900 | |
Erin Marie Wilmes Reiniger, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4622 40th Ave S, Fargo, ND 58104 Phone: 701-364-8000 Fax: 701-364-3561 |