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MERIT FL FONDONG NP
NPI 1306221460
Nurse Practitioner - Psychiatric/Mental Health in East Grand Forks, MN

Active since July 29, 2015PECOS EnrolledAccepts Medicare Assignment
210 GATEWAY DR NE STE 1, EAST GRAND FORKS, MN 56721(218) 207-2020(800) 582-1083 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 10, 2025, Jul 18, 2024, Oct 19, 2023 and 1 more (4 updates tracked since 2021).

About Merit Fl Fondong Np NPPES

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

MERIT FL FONDONG NP (NPI 1306221460) is an individual psychiatric/mental health provider in East Grand Forks, Minnesota, licensed in Minnesota (4015) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1306221460
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMERIT FL FONDONGCredential: NP
Location Address210 GATEWAY DR NE STE 1East Grand Forks, MN 56721-1621
Mailing Address210 Gateway Dr Ne Ste 1East Grand Forks, MN 56721-1621 · (218) 207-2020 · Fax (800) 582-1083
Phone(218) 207-2020
Fax(800) 582-1083
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 29, 2015
Last NPPES UpdateFebruary 10, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2025
✔ NPI 1306221460 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 MN · 4015
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License R219786-9 (MN)
210 GATEWAY DR NE STE 1, East Grand Forks, MN 56721
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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, HealthPartners, Sanford 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 and accepts Medicare assignment

Merit Fl Fondong 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 ID1254648017
PECOS Enrollment IDI20150911001266
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 Reassignments

6

Medicare enrollment records show Merit Fondong reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Balm Of Gilead Healthcare Clinic LLC
Same address
Psychiatric/Mental Health
210 GATEWAY DR NE STE 1
East Grand Forks, MN 56721
  • Reassigned Medicare billing, Minnesota enrollment
  • 3 clinicians in this Medicare group
NPI 1154022895 (218) 207-2020
Spectra Health
1.1 mi
Federally Qualified Health Center (FQHC)
212 S 4TH ST, SUITE 301
Grand Forks, ND 58201
  • Reassigned Medicare billing, North Dakota enrollment
  • 19 clinicians in this Medicare group
NPI 1114343423 (701) 757-2100
Sanford Medical Center Fargo
58 mi
Rural Health
501 2ND STREET NW
Twin Valley, MN 56584
  • Reassigned Medicare billing, Minnesota enrollment
  • 376 clinicians in this Medicare group
NPI 1689602682 (218) 584-5142
Mahnomen Health Center
66 mi
Rural
414 W JEFFERSON AVE
Mahnomen, MN 56557
  • Reassigned Medicare billing, Minnesota enrollment
  • 27 clinicians in this Medicare group
NPI 1942233234 (218) 935-2511
Mercy Hospital Of Devils Lake
86 mi
Critical Access
1031 7TH ST NE
Devils Lake, ND 58301
  • Reassigned Medicare billing, North Dakota enrollment
  • 102 clinicians in this Medicare group
NPI 1659343093 (701) 662-2131
Carrington Health Center
100 mi
Rural Health
118 1ST ST S
New Rockford, ND 58356
  • Reassigned Medicare billing, North Dakota enrollment
  • 33 clinicians in this Medicare group
NPI 1801811666 (701) 947-2021

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56721 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 2

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

BALM OF GILEAD HEALTHCARE CLINIC LLC
Nurse Practitioner (Psychiatric/Mental Health)
210 GATEWAY DR NE STE 1
EAST GRAND FORKS, MN 56721
Polk County (218) 207-2020
KIMBERLY NICOLE WILLIAMS APRN, FNP-C
Nurse Practitioner (Family)
210 GATEWAY DR NE STE 1
EAST GRAND FORKS, MN 56721
Polk County (218) 207-2020

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 Merit Fondong's NPI number?

The NPI number for Merit Fondong is 1306221460. It was assigned to this individual provider in the NPPES registry on July 29, 2015.

Where is Merit Fondong located?

Merit Fondong practices at 210 Gateway Dr NE Ste 1, East Grand Forks, MN 56721. The listed phone number is (218) 207-2020.

What is Merit Fondong's specialty?

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

Is Merit Fondong enrolled in Medicare?

Yes. Merit Fondong 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.

Which organizations bill Medicare for Merit Fondong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Merit Fondong reassigns Medicare benefits to 6 organizations: Balm Of Gilead Healthcare Clinic LLC (East Grand Forks, MN), Spectra Health (Grand Forks, ND), Sanford Medical Center Fargo (Twin Valley, MN), Mahnomen Health Center (Mahnomen, MN), Mercy Hospital Of Devils Lake (Devils Lake, ND) and 1 more organization, listed in the Medicare section above. Each 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 Merit Fondong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Merit Fondong accept?

Health plans from Blue Cross Blue Shield of North Dakota, HealthPartners and Sanford Health Plan list Merit Fondong 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 Merit Fondong was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.