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DIANE ADELE FJELSTAD KJELSTRUP MD
NPI 1306036017
Psychiatry & Neurology - Child & Adolescent Psychiatry in Fargo, ND

Active since July 29, 2007PECOS Enrolled
82.99/100
CMS Quality Rating
100 4TH ST S, FARGO, ND 58103(701) 234-4141(701) 234-4137 Get Directions Write a Review

NPPES record last updated: February 8, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Diane Adele Fjelstad Kjelstrup Md NPPES

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

DIANE ADELE FJELSTAD KJELSTRUP MD (NPI 1306036017) is an individual child & adolescent psychiatry provider in Fargo, North Dakota, licensed in North Dakota (10846) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306036017
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDIANE ADELE FJELSTAD KJELSTRUPCredential: MD
Location Address100 4TH ST SFargo, ND 58103-1929
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Phone(701) 234-4141
Fax(701) 234-4137
Sole ProprietorNo
Enumeration DateJuly 29, 2007
Last NPPES UpdateFebruary 8, 2021
NPPES CertifiedFebruary 8, 2021
✔ NPI 1306036017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in ND · 10846
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 10846 (ND), 50501 (MN)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 7025 (SD)
100 4TH ST S, Fargo, ND 58103
Open in Google Maps ↗

Other Names 1

Former Name (1)Diane Adele Fjelstad Md

Other Identifiers 1

Medicaid14891ND

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, Security Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diane Adele Fjelstad Kjelstrup Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Diane Fjelstad Kjelstrup reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sanford Medical Center Fargo
3.0 mi
Occupational Medicine
3838 12TH AVE N
Fargo, ND 58102
  • Reassigned Medicare billing, North Dakota enrollment
  • 1,464 clinicians in this Medicare group
NPI 1952323974 (701) 234-4700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. NICOLA ASHTON HERTING PHD, LP
Psychologist (Clinical Child & Adolescent)
100 4TH ST S
FARGO, ND 58103
Cass County (701) 234-2000
RYAN D JAGIM PHD
Psychologist (Psychoanalysis)
100 4TH ST S
FARGO, ND 58103
Cass County (701) 234-4141
TRACY E MOHN LCSW
Social Worker (Clinical)
100 4TH ST S
FARGO, ND 58103
Cass County (701) 234-3106
TRACY M FOLDESI-PENAS MSW
Social Worker (Clinical)
100 4TH ST S
FARGO, ND 58103
Cass County (701) 234-3100
LORRAINE A SWAN-KREMEIER PSYD
Psychologist (Psychoanalysis)
100 4TH ST S
FARGO, ND 58103
Cass County (701) 234-4111
ERIN WESTBY PHARM.D.
Pharmacist
100 4TH ST S
FARGO, ND 58103
Cass County (701) 237-0322
KATHRYN M CAMERON CNS
Psychiatry & Neurology (Psychiatry)
100 4TH ST S
FARGO, ND 58103
Cass County (701) 234-3100
WILLIAM C PORTER MD LTD
Otolaryngology
100 4TH ST S, STE 608
FARGO, ND 58103
Cass County (701) 235-0161

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 Diane Fjelstad Kjelstrup's NPI number?

The NPI number for Diane Fjelstad Kjelstrup is 1306036017. It was assigned to this individual provider in the NPPES registry on July 29, 2007. The provider is also known as Diane Adele Fjelstad MD.

Where is Diane Fjelstad Kjelstrup located?

Diane Fjelstad Kjelstrup practices at 100 4th St S, Fargo, ND 58103. The listed phone number is (701) 234-4141.

What is Diane Fjelstad Kjelstrup's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Diane Fjelstad Kjelstrup enrolled in Medicare?

Yes. Diane Fjelstad Kjelstrup is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Diane Fjelstad Kjelstrup's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diane Fjelstad Kjelstrup reassigns Medicare benefits to Sanford Medical Center Fargo (Fargo, ND). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Diane Fjelstad Kjelstrup's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Diane Fjelstad Kjelstrup accept?

Health plans from Blue Cross Blue Shield of North Dakota, Sanford Health Plan and Security Health Plan list Diane Fjelstad Kjelstrup 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 Diane Fjelstad Kjelstrup was last updated on February 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.