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CARRIE PFAFF NP
NPI 1265885867
Nurse Practitioner in Fargo, ND

Active since July 19, 2016PECOS EnrolledAccepts Medicare Assignment
82.99/100
CMS Quality Rating

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carrie Pfaff Np NPPES

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

CARRIE PFAFF NP (NPI 1265885867) is an individual nurse practitioner in Fargo, North Dakota, licensed in North Dakota (R32458) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1265885867
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCARRIE PFAFFCredential: NP
Location Address820 4TH ST NFargo, ND 58102-4539
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Phone(701) 234-6161
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 19, 2016
Last NPPES UpdateSeptember 3, 2024
NPPES CertifiedSeptember 3, 2024
✔ NPI 1265885867 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 · R32458
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 R32458 (ND)
820 4TH ST N, Fargo, ND 58102
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 and more.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

Carrie Pfaff Np 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 ID2264728773
PECOS Enrollment IDI20160909001246
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 4

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
164 services110 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
107 services86 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
26 services19 patients
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.
12 services12 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.06
Promoting Interoperability99
Improvement Activities40
Cost57.08

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.

GERALD G GROSS MD
Internal Medicine (Hematology & Oncology)
820 4TH ST N
FARGO, ND 58102
Cass County (701) 234-6161
PAULINE HOLMAN MS, CGC
Genetic Counselor, MS
820 4TH ST N
FARGO, ND 58102
Cass County (701) 234-7634
AMIT PANWALKAR
Internal Medicine (Hematology & Oncology)
820 4TH ST N
FARGO, ND 58102
Cass County (701) 234-6161
HARITHA REDDY MOPURU MD
Internal Medicine (Hematology & Oncology)
820 4TH ST N
FARGO, ND 58102
Cass County (701) 234-6161
ISAAK NATHANIEL AILTS MD
Internal Medicine
820 4TH ST N
FARGO, ND 58102
Cass County (701) 234-6161
JARRETT FAILING M.D.
Internal Medicine (Hematology & Oncology)
820 4TH ST N
FARGO, ND 58102
Cass County (701) 234-6161
LISA ANN BRAUN NP
Nurse Practitioner
820 4TH ST N
FARGO, ND 58102
Cass County (701) 234-6161
OLUWATOBI EZEKIEL ODETOLA MBBS
Internal Medicine (Hematology & Oncology)
820 4TH ST N
FARGO, ND 58102
Cass County (012) 346-1617

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 Carrie Pfaff's NPI number?

The NPI number for Carrie Pfaff is 1265885867. It was assigned to this individual provider in the NPPES registry on July 19, 2016.

Where is Carrie Pfaff located?

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

What is Carrie Pfaff's specialty?

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

Is Carrie Pfaff enrolled in Medicare?

Yes. Carrie Pfaff 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 Carrie Pfaff accept?

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

According to CMS data, Carrie Pfaff is affiliated with Sanford Medical Center Fargo.

When was this NPI record last updated?

The NPPES record for Carrie Pfaff was last updated on September 3, 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.