DR. DESSEREE MARIE LYSNE-BURSON D.M.D.
NPI 1417485954
Dentist - General Practice in Fargo, ND

Active since May 29, 2017PECOS Enrolled
2101 ELM ST N, FARGO, ND 58102(701) 232-3241 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 26, 2025, Feb 25, 2025, Nov 29, 2022 and 2 more (5 updates tracked since 2017).

About Dr. Desseree Marie Lysne-burson D.m.d. NPPES

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

DR. DESSEREE MARIE LYSNE-BURSON D.M.D. (NPI 1417485954) is an individual general practice provider in Fargo, North Dakota, licensed in Arizona (D009736) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417485954
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DESSEREE MARIE LYSNE-BURSONCredential: D.M.D.
Location Address2101 ELM ST NFargo, ND 58102-2417
Mailing Address2101 Elm St NFargo, ND 58102-2417 · (701) 232-3241
Sole ProprietorNo
Enumeration DateMay 29, 2017
Last NPPES UpdateNovember 26, 20255 updates tracked since enumeration
NPPES CertifiedNovember 26, 2025
NPI 1417485954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in AZ · D009736
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License D009736 (AZ)
2101 ELM ST N, Fargo, ND 58102

Other Names 1

Former Name (1)Miss Desseree Marie Lysne Ms

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 (PECOS)

Dr. Desseree Marie Lysne-burson D.m.d. 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
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
Most-billed visit code 99213
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 20

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

Physician Assistant
2101 ELM ST N
FARGO, ND 58102
Registered Nurse
2101 ELM ST N
FARGO, ND 58102
Registered Nurse (Medical-Surgical)
2101 ELM ST N
FARGO, ND 58102
Social Worker
2101 ELM ST N
FARGO, ND 58102
Registered Nurse (Ambulatory Care)
2101 ELM ST N
FARGO, ND 58102
Specialist/Technologist, Pathology (Medical Technologist)
2101 ELM ST N
FARGO, ND 58102
Registered Nurse (Emergency)
2101 ELM ST N
FARGO, ND 58102
Registered Nurse
2101 ELM ST N
FARGO, ND 58102

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 Desseree Lysne-burson's NPI number?

The NPI number for Desseree Lysne-burson is 1417485954. It was assigned to this individual provider in the NPPES registry on May 29, 2017. The provider is also known as Miss Desseree Marie Lysne Ms.

Where is Desseree Lysne-burson located?

Desseree Lysne-burson practices at 2101 Elm St N, Fargo, ND 58102. The listed phone number is (701) 232-3241.

What is Desseree Lysne-burson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Desseree Lysne-burson enrolled in Medicare?

Yes. Desseree Lysne-burson is registered in the Medicare PECOS enrollment system.

What insurance does Desseree Lysne-burson accept?

Health plans from Antidote Health Plan of Arizona, Inc., BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 11 other insurers list Desseree Lysne-burson 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 Desseree Lysne-burson was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.