AMANDA CATHERINE FOSSUM DNP
NPI 1265320352
Nurse Practitioner in Bismarck, ND

Q: What is Amanda Fossum's NPI number?

The NPI number for Amanda Fossum is 1265320352. It was assigned to this individual provider in the NPPES registry on June 26, 2025.

Q: What is Amanda Fossum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Fossum was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since June 26, 2025PECOS EnrolledAccepts Medicare Assignment

565 S 7TH ST, BISMARCK, ND 58504(701) 323-5550 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 1, 2025, Jun 26, 2025 (2 updates tracked since 2025).

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About Amanda Catherine Fossum Dnp NPPES

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

AMANDA CATHERINE FOSSUM DNP (NPI 1265320352) is an individual nurse practitioner in Bismarck, North Dakota, licensed in North Dakota (202915) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Bismarck, and maintains a secondary practice location in Bismarck.

NPPES Registry Identity

NPI1265320352

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameAMANDA CATHERINE FOSSUMCredential: DNP

Location Address565 S 7TH STBismarck, ND 58504-5859

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074

Phone(701) 323-5550

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateJune 26, 2025

Last NPPES UpdateOctober 13, 20252 updates tracked since enumeration

NPPES CertifiedOctober 13, 2025

✔ NPI 1265320352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in ND · 202915

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License TEMP202915 (ND)

565 S 7TH ST, Bismarck, ND 58504

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Secondary Practice Location 1

Location 1222 N 7th StBismarck, ND 58501-4436 · Phone (701) 323-6000

Accepted Insurance

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

Amanda Catherine Fossum Dnp 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 ID1153827746

PECOS Enrollment IDI20251002001459

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.

Sanford Medical Center Bismarck

Acute Care Hospitals · Bismarck, ND

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number350015

Location300 N 7th StBismarck, ND 58506 · Burleigh County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58504 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 11

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

MAKDA BSRAT MD

Internal Medicine (Gastroenterology)