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MARTHA MOFYASANDT DNP
NPI 1407450729
Nurse Practitioner in Fargo, ND

Active since November 27, 2020PECOS Enrolled
FARGO VA, 2101 ELM STREET N, FARGO, ND 58102(701) 239-3700(701) 237-2623 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 30, 2025, Mar 10, 2025, Nov 27, 2020 (3 updates tracked since 2020).

About Martha Mofyasandt Dnp NPPES

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

MARTHA MOFYASANDT DNP (NPI 1407450729) is an individual nurse practitioner in Fargo, North Dakota, licensed in North Dakota (R39541) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407450729
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARTHA MOFYASANDTCredential: DNP
Location AddressFARGO VA, 2101 ELM STREET NFargo, ND 58102
Mailing Address3728 13th St SMoorhead, MN 56560-7442 · (651) 815-2408
Phone(701) 239-3700
Fax(701) 237-2623
Sole ProprietorNo
Enumeration DateNovember 27, 2020
Last NPPES UpdateDecember 30, 20253 updates tracked since enumeration
NPPES CertifiedDecember 30, 2025
✔ NPI 1407450729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in ND · R39541
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.
FARGO VA, 2101 ELM STREET N, Fargo, ND 58102
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Martha Mofyasandt Dnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58102 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 Martha Mofyasandt's NPI number?

The NPI number for Martha Mofyasandt is 1407450729. It was assigned to this individual provider in the NPPES registry on November 27, 2020.

Where is Martha Mofyasandt located?

Martha Mofyasandt practices at Fargo VA, 2101 Elm Street N, Fargo, ND 58102. The listed phone number is (701) 239-3700.

What is Martha Mofyasandt's specialty?

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

Is Martha Mofyasandt enrolled in Medicare?

Yes. Martha Mofyasandt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Martha Mofyasandt was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.