HILLARY MARIE DETERMAN
NPI 1407514391
Nurse Practitioner - Family in Grand Forks, ND

Active since December 07, 2021PECOS EnrolledAccepts Medicare Assignment
82.99/100
CMS Quality Rating
1750 47TH AVE S, GRAND FORKS, ND 58201(701) 757-8700 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 20, 2022, Dec 7, 2021 (2 updates tracked since 2021).

About Hillary Marie Determan NPPES

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

HILLARY MARIE DETERMAN (NPI 1407514391) is an individual family provider in Grand Forks, North Dakota, licensed in North Dakota (R51659) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1407514391
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHILLARY MARIE DETERMAN
Location Address1750 47TH AVE SGrand Forks, ND 58201-7595
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 7, 2021
Last NPPES UpdateApril 20, 20222 updates tracked since enumeration
NPPES CertifiedApril 20, 2022
NPI 1407514391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in ND · R51659
1750 47TH AVE S, Grand Forks, ND 58201

Accepted 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

Hillary Marie Determan 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 ID4486033974
PECOS Enrollment IDI20220613002411
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 19

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
2,117 services20 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.
268 services197 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
67 services56 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
53 services38 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.
51 services49 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
37 services37 patients

Hospital Affiliations CMS Care Compare

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

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58201 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.

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 16

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

Physical Therapist
1750 47TH AVE S
GRAND FORKS, ND 58201
Physician Assistant
1750 47TH AVE S
GRAND FORKS, ND 58201
Nurse Practitioner
1750 47TH AVE S
GRAND FORKS, ND 58201
Nurse Practitioner (Psychiatric/Mental Health)
1750 47TH AVE S
GRAND FORKS, ND 58201
Registered Nurse (Diabetes Educator)
1750 47TH AVE S
GRAND FORKS, ND 58201
Dietitian, Registered
1750 47TH AVE S
GRAND FORKS, ND 58201
Dietitian, Registered
1750 47TH AVE S
GRAND FORKS, ND 58201
Psychologist
1750 47TH AVE S
GRAND FORKS, ND 58201

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 Hillary Determan's NPI number?

The NPI number for Hillary Determan is 1407514391. It was assigned to this individual provider in the NPPES registry on December 7, 2021.

Where is Hillary Determan located?

Hillary Determan practices at 1750 47th Ave S, Grand Forks, ND 58201. The listed phone number is (701) 757-8700.

What is Hillary Determan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Hillary Determan enrolled in Medicare?

Yes. Hillary Determan 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.

What insurance does Hillary Determan accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan and Security Health Plan list Hillary Determan 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.

Is Hillary Determan affiliated with any hospitals?

According to CMS data, Hillary Determan is affiliated with Sanford Medical Center Fargo.

When was this NPI record last updated?

The NPPES record for Hillary Determan was last updated on April 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.