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JAMES TROY UPTON APRN, CNP
NPI 1023491909
Nurse Practitioner - Family in West Fargo, ND

Active since July 09, 2015PECOS EnrolledAccepts Medicare Assignment
505 32ND AVE E STE B, WEST FARGO, ND 58078(701) 532-1731(701) 532-1940 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 5, 2025, Nov 16, 2017 (2 updates tracked since 2017).

About James Troy Upton Aprn, Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES TROY UPTON APRN, CNP (NPI 1023491909) is an individual family provider in West Fargo, North Dakota, licensed in North Dakota (R30255) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with Essentia Health, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1023491909
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJAMES TROY UPTONCredential: APRN, CNP
Location Address505 32ND AVE E STE BWest Fargo, ND 58078-8490
Mailing Address505 32nd Ave E Ste BWest Fargo, ND 58078-8490 · (701) 532-1731 · Fax (701) 532-1940
Phone(701) 532-1731
Fax(701) 532-1940
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 9, 2015
Last NPPES UpdateNovember 5, 20252 updates tracked since enumeration
NPPES CertifiedNovember 5, 2025
✔ NPI 1023491909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in ND · R30255
505 32ND AVE E STE B, West Fargo, ND 58078
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Troy Upton Aprn, Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800101700
PECOS Enrollment IDI20150821013438
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Essentia Health

Acute Care Hospitals · Fargo, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350070
Location3000 32nd Ave SouthFargo, ND 58104 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58078 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN C NORDQUIST NP
Nurse Practitioner (Family)
505 32ND AVE E STE B
WEST FARGO, ND 58078
Cass County (701) 532-1731
CHRISTIAN JALEN PRATT OD
Optometrist
505 32ND AVE E STE B
WEST FARGO, ND 58078
Cass County (701) 566-5390
CONVENIENT CARE CLINIC, PLLC
Nurse Practitioner (Family)
505 32ND AVE E STE B
WEST FARGO, ND 58078
Cass County (701) 532-1731
JEAN ISAKSON NP
Nurse Practitioner (Family)
505 32ND AVE E STE B
WEST FARGO, ND 58078
Cass County (701) 532-1731

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Upton's NPI number?

The NPI number for James Upton is 1023491909. It was assigned to this individual provider in the NPPES registry on July 9, 2015.

Where is James Upton located?

James Upton practices at 505 32nd Ave E Ste B, West Fargo, ND 58078. The listed phone number is (701) 532-1731.

What is James Upton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is James Upton enrolled in Medicare?

Yes. James Upton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does James Upton accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list James Upton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James Upton affiliated with any hospitals?

According to CMS data, James Upton is affiliated with Essentia Health.

When was this NPI record last updated?

The NPPES record for James Upton was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.