TOSHA L NYGAARD DNP
NPI 1376702175
Nurse Practitioner in Bismarck, ND

Q: What is Tosha Nygaard's NPI number?

The NPI number for Tosha Nygaard is 1376702175. It was assigned to this individual provider in the NPPES registry on June 5, 2008.

Q: What is Tosha Nygaard's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tosha Nygaard was last updated on October 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 05, 2008PECOS EnrolledAccepts Medicare Assignment

79.63/100

CMS Quality Rating

900 E BROADWAY AVE, BISMARCK, ND 58501(701) 530-7300(701) 530-7319 Get Directions Write a Review

NPPES record last updated: October 10, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 10, 2019, Apr 18, 2017, Aug 19, 2016 (3 updates tracked since 2016).

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About Tosha L Nygaard Dnp NPPES

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

TOSHA L NYGAARD DNP (NPI 1376702175) is an individual nurse practitioner in Bismarck, North Dakota, licensed in North Dakota (R28166) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Chi St Alexius Health, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1376702175

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameTOSHA L NYGAARDCredential: DNP

Location Address900 E BROADWAY AVEBismarck, ND 58501-4520

Mailing AddressPo Box 997Bismarck, ND 58502-0997 · (701) 530-7300 · Fax (701) 530-7319

Phone(701) 530-7300

Fax(701) 530-7319

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateJune 5, 2008

Last NPPES UpdateOctober 10, 20193 updates tracked since enumeration

✔ NPI 1376702175 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 · R28166

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 · Psychiatric/Mental HealthTaxonomy 363LP0808X · License R28166 (ND)

900 E BROADWAY AVE, Bismarck, ND 58501

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Other Identifiers 1

Medicaid1455208ND

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica.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

Tosha L Nygaard Dnp 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 ID648347823

PECOS Enrollment IDI20080930000660

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 5

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 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.

110 services41 patients

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.

66 services35 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

27 services18 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

22 services13 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.

12 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chi St Alexius Health

Acute Care Hospitals · Bismarck, ND

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number350002

Location900 E BroadwayBismarck, ND 58501 · Burleigh County

Emergency services Birthing friendly

Sanford Medical Center Bismarck

Acute Care Hospitals · Bismarck, ND

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number350015

Location300 N 7th StBismarck, ND 58506 · Burleigh County

Emergency services Birthing friendly

South Central Health

Critical Access Hospitals · Wishek, ND

OwnershipGovernment - Local

CMS Certification Number351321

Location1007 4th Ave SWishek, ND 58495 · Mcintosh County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58501 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.

79.63/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.03

Promoting Interoperability

Improvement Activities

Cost

74.42

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. LING SING CHOW M.D.

Internal Medicine