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PHYLLIS EASON M.D.
NPI 1174596746
Psychiatry & Neurology - Psychiatry in Fargo, ND

Active since February 13, 2006PECOS EnrolledAccepts Medicare Assignment
100 4TH ST S, FARGO, ND 58103(701) 234-3100(701) 234-3120 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 5, 2024, Jun 25, 2024 (2 updates tracked since 2024).

About Phyllis Eason M.d. NPPES

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

PHYLLIS EASON M.D. (NPI 1174596746) is an individual psychiatry provider in Fargo, North Dakota, licensed in North Dakota (PT12912) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital Jefferson City, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1174596746
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NamePHYLLIS EASONCredential: M.D.
Location Address100 4TH ST SFargo, ND 58103-1929
Mailing AddressPo Box 2168Fargo, ND 58107-2168 · (701) 234-2119
Phone(701) 234-3100
Fax(701) 234-3120
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateFebruary 13, 2006
Last NPPES UpdateNovember 5, 20242 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
✔ NPI 1174596746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in ND · PT12912✔ Licensed in GA · 043926✔ Licensed in WI · 71925✔ Licensed in MO · 2015042689✔ Licensed in WA · MD61499166✔ Licensed in CA · C170232
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
100 4TH ST S, Fargo, ND 58103
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1400 NE Mother Joseph PlVancouver, WA 98664-3200 · Phone (360) 514-3191 · Fax (360) 729-3372
Location 22016 S Main StMaryville, MO 64468-2655 · Phone (660) 562-2600

Other Identifiers 2

Medicaid18207ND
Medicaid1174596746MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Phyllis Eason M.d. 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 ID1355307075
PECOS Enrollment IDI20160210001933
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Phyllis Eason reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Altru Health System
73 mi
Clinic/Center
1300 S COLUMBIA RD
Grand Forks, ND 58201
  • Reassigned Medicare billing, North Dakota enrollment
  • 701 clinicians in this Medicare group
NPI 1043309552 (701) 780-5000
Ssm Regional Health Services
618 mi
Mental Health (Including Community Mental Health Center)
2701 WEST EDGEWOOD, SUITE 101
Jefferson City, MO 65109
  • Reassigned Medicare billing, Missouri enrollment
  • 54 clinicians in this Medicare group
NPI 1053368159 (573) 634-5303
Poplar Bluff Hma Physician Management, LLC
769 mi
Family Medicine
3098 OAK GROVE RD
Poplar Bluff, MO 63901
  • Reassigned Medicare billing, Missouri enrollment
  • 89 clinicians in this Medicare group
NPI 1598710147 (573) 776-2835
Phoebe Gastroenterology Associates
1,247 mi
Clinic/Center
2740 RAY KNIGHT WAY, STE 100
Albany, GA 31707
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Phoebe Physician Group Inc
  • 1,118 clinicians in this Medicare group
NPI 1659627131 (229) 312-0669
Cep America - Psychiatry PC
1,355 mi
Psychiatry
1650 CREEKSIDE DR
Folsom, CA 95630
  • Reassigned Medicare billing, California enrollment
  • 208 clinicians in this Medicare group
NPI 1356810519 (916) 983-7400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Ssm Health St Mary's Hospital Jefferson City

Acute Care Hospitals · Jefferson City, MO
3/5 CMS rating
OwnershipProprietary
CMS Certification Number260011
Location2505 Mission DriveJefferson City, MO 65109 · Cole 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
$168.12 typical visit price
range $55.75 – $168.12
Typical copayment $42.03 (range $13.93 – $42.03)
Most-billed visit code 99205
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
Most-billed visit code 99213
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.

DR. NICOLA ASHTON HERTING PHD, LP
Psychologist (Clinical Child & Adolescent)
100 4TH ST S
FARGO, ND 58103
Cass County (701) 234-2000
RYAN D JAGIM PHD
Psychologist (Psychoanalysis)
100 4TH ST S
FARGO, ND 58103
Cass County (701) 234-4141
TRACY E MOHN LCSW
Social Worker (Clinical)
100 4TH ST S
FARGO, ND 58103
Cass County (701) 234-3106
TRACY M FOLDESI-PENAS MSW
Social Worker (Clinical)
100 4TH ST S
FARGO, ND 58103
Cass County (701) 234-3100
LORRAINE A SWAN-KREMEIER PSYD
Psychologist (Psychoanalysis)
100 4TH ST S
FARGO, ND 58103
Cass County (701) 234-4111
ERIN WESTBY PHARM.D.
Pharmacist
100 4TH ST S
FARGO, ND 58103
Cass County (701) 237-0322
KATHRYN M CAMERON CNS
Psychiatry & Neurology (Psychiatry)
100 4TH ST S
FARGO, ND 58103
Cass County (701) 234-3100
WILLIAM C PORTER MD LTD
Otolaryngology
100 4TH ST S, STE 608
FARGO, ND 58103
Cass County (701) 235-0161

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 Phyllis Eason's NPI number?

The NPI number for Phyllis Eason is 1174596746. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Where is Phyllis Eason located?

Phyllis Eason practices at 100 4th St S, Fargo, ND 58103. The listed phone number is (701) 234-3100.

What is Phyllis Eason's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Phyllis Eason enrolled in Medicare?

Yes. Phyllis Eason 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.

Which organizations bill Medicare for Phyllis Eason's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phyllis Eason reassigns Medicare benefits to 5 organizations: Altru Health System (Grand Forks, ND), Ssm Regional Health Services (Jefferson City, MO), Poplar Bluff Hma Physician Management, LLC (Poplar Bluff, MO), Phoebe Gastroenterology Associates (Albany, GA) and Cep America - Psychiatry PC (Folsom, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Phyllis Eason's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Phyllis Eason accept?

Health plans from Anthem Blue Cross and Blue Shield and Medica list Phyllis Eason 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 Phyllis Eason affiliated with any hospitals?

According to CMS data, Phyllis Eason is affiliated with Ssm Health St Mary's Hospital Jefferson City.

When was this NPI record last updated?

The NPPES record for Phyllis Eason was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.