TONIA LOFGREN
NPI 1164265195
Nurse Practitioner - Family in Fargo, ND

Active since June 17, 2024PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 24, 2024, Jun 17, 2024 (2 updates tracked since 2024).

About Tonia Lofgren NPPES

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

TONIA LOFGREN (NPI 1164265195) is an individual family provider in Fargo, North Dakota, licensed in North Dakota (R30649) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1164265195
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTONIA LOFGREN
Location Address820 4TH ST NFargo, ND 58102-4539
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (218) 209-9580
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 17, 2024
Last NPPES UpdateJuly 24, 20242 updates tracked since enumeration
NPPES CertifiedJuly 24, 2024
NPI 1164265195 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 · R30649
820 4TH ST N, Fargo, ND 58102

Accepted 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

Tonia Lofgren 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 ID2860939980
PECOS Enrollment IDI20240806003526, I20250709004401
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 2

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
31 services26 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
16 services11 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 58102 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 20

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

Internal Medicine (Hematology & Oncology)
820 4TH ST N
FARGO, ND 58102
Genetic Counselor, MS
820 4TH ST N
FARGO, ND 58102
Internal Medicine (Hematology & Oncology)
820 4TH ST N
FARGO, ND 58102
Internal Medicine (Hematology & Oncology)
820 4TH ST N
FARGO, ND 58102
Internal Medicine
820 4TH ST N
FARGO, ND 58102
Internal Medicine (Hematology & Oncology)
820 4TH ST N
FARGO, ND 58102
Nurse Practitioner
820 4TH ST N
FARGO, ND 58102
Internal Medicine (Hematology & Oncology)
820 4TH ST N
FARGO, ND 58102

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 Tonia Lofgren's NPI number?

The NPI number for Tonia Lofgren is 1164265195. It was assigned to this individual provider in the NPPES registry on June 17, 2024.

Where is Tonia Lofgren located?

Tonia Lofgren practices at 820 4th St N, Fargo, ND 58102. The listed phone number is (701) 234-6161.

What is Tonia Lofgren's specialty?

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

Is Tonia Lofgren enrolled in Medicare?

Yes. Tonia Lofgren 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 Tonia Lofgren accept?

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

According to CMS data, Tonia Lofgren is affiliated with Sanford Medical Center Fargo.

When was this NPI record last updated?

The NPPES record for Tonia Lofgren was last updated on July 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.