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THOMAS UGELSTAD PMHNP-BC
NPI 1285373738
Nurse Practitioner - Psychiatric/Mental Health in Fargo, ND

Active since June 02, 2022PECOS Enrolled
4656 AMBER VALLEY PKWY S STE 102, FARGO, ND 58104(701) 251-0551 Get Directions Write a Review

NPPES record last updated: October 13, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 13, 2024, Oct 3, 2024, Jul 26, 2022 (3 updates tracked since 2022).

About Thomas Ugelstad Pmhnp-bc NPPES

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

THOMAS UGELSTAD PMHNP-BC (NPI 1285373738) is an individual psychiatric/mental health provider in Fargo, North Dakota, licensed in North Dakota (R46309) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285373738
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameTHOMAS UGELSTADCredential: PMHNP-BC
Location Address4656 AMBER VALLEY PKWY S STE 102Fargo, ND 58104-4594
Mailing Address4656 Amber Valley Pkwy S Ste 102Fargo, ND 58104-4594 · (701) 251-0551
Phone(701) 251-0551
Sole ProprietorYes
Enumeration DateJune 2, 2022
Last NPPES UpdateOctober 13, 20243 updates tracked since enumeration
NPPES CertifiedOctober 13, 2024
✔ NPI 1285373738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in ND · R46309
Also ListedRegistered NurseTaxonomy 163W00000X · License R46309 (ND)
4656 AMBER VALLEY PKWY S STE 102, Fargo, ND 58104
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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.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas Ugelstad Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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.
106 services24 patients

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.

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 Thomas Ugelstad's NPI number?

The NPI number for Thomas Ugelstad is 1285373738. It was assigned to this individual provider in the NPPES registry on June 2, 2022.

Where is Thomas Ugelstad located?

Thomas Ugelstad practices at 4656 Amber Valley Pkwy S Ste 102, Fargo, ND 58104. The listed phone number is (701) 251-0551.

What is Thomas Ugelstad's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Thomas Ugelstad enrolled in Medicare?

Yes. Thomas Ugelstad is registered in the Medicare PECOS enrollment system.

What insurance does Thomas Ugelstad accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Thomas Ugelstad 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.

When was this NPI record last updated?

The NPPES record for Thomas Ugelstad was last updated on October 13, 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.