JILL MCMULLEN D.N.P.
NPI 1174893879
Nurse Practitioner - Family in Fargo, ND

Active since January 11, 2012PECOS EnrolledAccepts Medicare Assignment
3800 56TH AVE S, FARGO, ND 58104(701) 356-1500(701) 356-1596 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 19, 2025, Jan 4, 2023, Dec 14, 2021 (3 updates tracked since 2021).

About Jill Mcmullen D.n.p. NPPES

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

JILL MCMULLEN D.N.P. (NPI 1174893879) is an individual family provider in Fargo, North Dakota, licensed in North Dakota (31131) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS, is affiliated with Essentia Health, and maintains a secondary practice location in Moorhead.

NPPES Registry Identity

NPI1174893879
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJILL MCMULLENCredential: D.N.P.
Location Address3800 56TH AVE SFargo, ND 58104-6706
Mailing Address3800 56th Ave SFargo, ND 58104-6706 · (701) 356-1500 · Fax (701) 356-1596
Fax(701) 356-1596
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 11, 2012
Last NPPES UpdateJune 19, 20253 updates tracked since enumeration
NPPES CertifiedJune 19, 2025
NPI 1174893879 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 · 31131 Licensed in MN · 7756
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 7756 (MN)
3800 56TH AVE S, Fargo, ND 58104

Secondary Practice Location 1

Location 11547 30th Ave SMoorhead, MN 56560-5149 · Phone (218) 287-4338 · Fax (218) 287-5928

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

Jill Mcmullen D.n.p. 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 ID1456511823
PECOS Enrollment IDI20120321000657, I20211222000477
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 58104 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.

Family Medicine (Hospice and Palliative Medicine)
3800 56TH AVE S
FARGO, ND 58104
Nurse Practitioner (Family)
3800 56TH AVE S
FARGO, ND 58104
Family Medicine (Hospice and Palliative Medicine)
3800 56TH AVE S
FARGO, ND 58104
Nurse Practitioner
3800 56TH AVE S
FARGO, ND 58104

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 Jill Mcmullen's NPI number?

The NPI number for Jill Mcmullen is 1174893879. It was assigned to this individual provider in the NPPES registry on January 11, 2012.

Where is Jill Mcmullen located?

Jill Mcmullen practices at 3800 56th Ave S, Fargo, ND 58104. The listed phone number is (701) 356-1500.

What is Jill Mcmullen's specialty?

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

Is Jill Mcmullen enrolled in Medicare?

Yes. Jill Mcmullen 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 Jill Mcmullen accept?

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

According to CMS data, Jill Mcmullen is affiliated with Essentia Health.

When was this NPI record last updated?

The NPPES record for Jill Mcmullen was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.