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MELISSA MARIE FOFANA FNP-C
NPI 1053026070
Nurse Practitioner - Family in Fargo, ND

Active since January 16, 2023PECOS EnrolledAccepts Medicare Assignment
1701 38TH ST S STE 101, FARGO, ND 58103(701) 356-1500(701) 356-1596 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 5, 2023, Mar 29, 2023, Mar 10, 2023 and 1 more (4 updates tracked since 2023).

About Melissa Marie Fofana Fnp-c NPPES

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

MELISSA MARIE FOFANA FNP-C (NPI 1053026070) is an individual family provider in Fargo, North Dakota, licensed in North Dakota (R38049) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and maintains a secondary practice location in Detroit Lakes.

NPPES Registry Identity

NPI1053026070
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELISSA MARIE FOFANACredential: FNP-C
Location Address1701 38TH ST S STE 101Fargo, ND 58103-4499
Mailing Address1701 38th St S Ste 101Fargo, ND 58103-4499 · (701) 356-1500 · Fax (701) 356-1596
Phone(701) 356-1500
Fax(701) 356-1596
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 16, 2023
Last NPPES UpdateNovember 26, 20244 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
✔ NPI 1053026070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in ND · R38049✔ Licensed in MN · 9983
Also ListedRegistered NurseTaxonomy 163W00000X · License 2367107 (MN)
1701 38TH ST S STE 101, Fargo, ND 58103
Open in Google Maps ↗

Secondary Practice Location 1

Location 11111 Highway 10 EDetroit Lakes, MN 56501-4215 · Phone (701) 356-1500 · Fax (701) 356-1596

Other Identifiers 2

Medicaid1488848ND
Medicaid1053026070MN

Accepted Insurance

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

Melissa Marie Fofana Fnp-c 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 ID4385018605
PECOS Enrollment IDI20230328000364, I20230410001268
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
620 services96 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
513 services101 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
408 services97 patients
Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489
Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.
160 services32 patients
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487
Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.
79 services39 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
77 services50 patients

Hospital Affiliations CMS Care Compare

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

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58103 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.

KELSY ROST FNP-C
Nurse Practitioner (Primary Care)
1701 38TH ST S STE 101
FARGO, ND 58103
Cass County (701) 356-1500
HOSPICE OF THE RED RIVER VALLEY
In Home Supportive Care
1701 38TH ST S STE 101
FARGO, ND 58103
Cass County (701) 356-1507
HEATHER MARIE HAARSTAD LPN
Licensed Practical Nurse
1701 38TH ST S STE 101
FARGO, ND 58103
Cass County (800) 237-4629
MS. TRACIE MARIE MALLBERG- SYLVESTER M.D.
Family Medicine
1701 38TH ST S STE 101
FARGO, ND 58103
Cass County (701) 356-1500

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 Melissa Fofana's NPI number?

The NPI number for Melissa Fofana is 1053026070. It was assigned to this individual provider in the NPPES registry on January 16, 2023.

Where is Melissa Fofana located?

Melissa Fofana practices at 1701 38th St S Ste 101, Fargo, ND 58103. The listed phone number is (701) 356-1500.

What is Melissa Fofana's specialty?

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

Is Melissa Fofana enrolled in Medicare?

Yes. Melissa Fofana 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 Melissa Fofana accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Melissa Fofana 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 Melissa Fofana affiliated with any hospitals?

According to CMS data, Melissa Fofana is affiliated with Sanford Medical Center Fargo.

When was this NPI record last updated?

The NPPES record for Melissa Fofana was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.