INNOCENT NSENGIYUMVA
NPI 1285324483
Physician Assistant in Fargo, ND

Q: What is Innocent Nsengiyumva's NPI number?

The NPI number for Innocent Nsengiyumva is 1285324483. It was assigned to this individual provider in the NPPES registry on May 10, 2023.

Q: What is Innocent Nsengiyumva's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since May 10, 2023PECOS EnrolledAccepts Medicare Assignment

1720 UNIVERSITY DR S, FARGO, ND 58103(701) 417-6000 Get Directions Write a Review

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 16, 2026, May 10, 2023 (2 updates tracked since 2023).

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About Innocent Nsengiyumva NPPES

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

INNOCENT NSENGIYUMVA (NPI 1285324483) is an individual physician assistant in Fargo, North Dakota, licensed in North Dakota (PAC1203) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and maintains a secondary practice location in Fargo.

NPPES Registry Identity

NPI1285324483

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameINNOCENT NSENGIYUMVA

Location Address1720 UNIVERSITY DR SFargo, ND 58103-4940

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074

Phone(701) 417-6000

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMay 10, 2023

Last NPPES UpdateJanuary 16, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 16, 2026

✔ NPI 1285324483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in ND · PAC1203

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1720 UNIVERSITY DR S, Fargo, ND 58103

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Secondary Practice Location 1

Location 11609 34th Ave SFargo, ND 58104-6123 · Phone (701) 630-9644

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

Innocent Nsengiyumva 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 ID9739667999

PECOS Enrollment IDI20260129001366

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 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 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

$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

$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.

BRAD KITTELSON LRD

Dietitian, Registered