ELISE DICK MD
NPI 1053874974
Family Medicine in Grand Forks, ND

Q: What is Elise Dick's NPI number?

The NPI number for Elise Dick is 1053874974. It was assigned to this individual provider in the NPPES registry on April 8, 2019.

Q: What is Elise Dick's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Elise Dick was last updated on October 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 08, 2019PECOS EnrolledAccepts Medicare Assignment

725 HAMLINE ST, GRAND FORKS, ND 58203(701) 780-6800(605) 755-4012 Get Directions Write a Review

NPPES record last updated: October 28, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 28, 2022, Apr 8, 2019 (2 updates tracked since 2019).

On this page

About Elise Dick Md NPPES

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

ELISE DICK MD (NPI 1053874974) is an individual family medicine provider in Grand Forks, North Dakota, licensed in North Dakota (18724) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Altru Hospital, and is a graduate of University Of North Dakota School Of Medicine (2019).

NPPES Registry Identity

NPI1053874974

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameELISE DICKCredential: MD

Location Address725 HAMLINE STGrand Forks, ND 58203-1400

Mailing Address2401 Demers AveGrand Forks, ND 58201 · (701) 780-1891 · Fax (605) 755-4012

Phone(701) 780-6800

Fax(605) 755-4012

Sole ProprietorNo

Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2019

Enumeration DateApril 8, 2019

Last NPPES UpdateOctober 28, 20222 updates tracked since enumeration

NPPES CertifiedOctober 28, 2022

✔ NPI 1053874974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ND · 18724

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

725 HAMLINE ST, Grand Forks, ND 58203

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, 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

Elise Dick Md 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 ID7012242530

PECOS Enrollment IDI20220913002653

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 2

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

Altru Hospital

Acute Care Hospitals · Grand Forks, ND

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number350019

Location1200 S Columbia RdGrand Forks, ND 58201 · Grand Forks County

Emergency services Birthing friendly

Chi St Alexius Health Devils Lake

Critical Access Hospitals · Devils Lake, ND

OwnershipVoluntary non-profit - Private

CMS Certification Number351333

Location1031 7th St NEDevils Lake, ND 58301 · Ramsey County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58203 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.

Leave this field empty

Other Providers at the Same Location NPPES 20

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

TAMIM KHROMACHOU MD

Family Medicine