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DEBRA L. MIDDLETON FNP
NPI 1427073188
Nurse Practitioner - Family in Cooperstown, ND

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment
95.7/100
CMS Quality Rating
1200 ROBERTS AVE NE, COOPERSTOWN, ND 58425(701) 797-2221(701) 797-2457 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Debra L. Middleton Fnp NPPES

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

DEBRA L. MIDDLETON FNP (NPI 1427073188) is an individual family provider in Cooperstown, North Dakota, licensed in North Dakota (R23285) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Bismarck, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1427073188
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDEBRA L. MIDDLETONCredential: FNP
Location Address1200 ROBERTS AVE NECooperstown, ND 58425-7101
Mailing Address1200 Roberts Ave NeCooperstown, ND 58425-7101 · (701) 797-2221 · Fax (701) 797-2457
Phone(701) 797-2221
Fax(701) 797-2457
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJuly 13, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1427073188 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
Licenses✔ Licensed in ND · R23285✔ Licensed in MN · R175779-2
1200 ROBERTS AVE NE, Cooperstown, ND 58425
Open in Google Maps ↗

Other Names 1

Former Name (1)Debra Stewart-barber

Other Identifiers 2

Medicaid19536ND
Medicaid856400000MN

Accepted Insurance

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

Debra L. Middleton Fnp 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 ID4183720097
PECOS Enrollment IDI20070509000141, I20070827000604
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.

Hospital Affiliations CMS Care Compare 2

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

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

Jacobson Memorial Hospital Care Center

Critical Access Hospitals · Elgin, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351314
Location601 East St NElgin, ND 58533 · Grant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58425 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.

95.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.11
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
1 supplier12 claims39 services$7.23 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
1 supplier12 claims12 services$2.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
2 suppliers14 claims28 services$1.08 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers13 claims13 services$46.03 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers11 claims11 services$24.97 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers13 claims78 services$3.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

MRS. BROOKE LEIGH FREDRICKSON LRD, CSG
Dietitian, Registered
1200 ROBERTS AVE NE
COOPERSTOWN, ND 58425
Griggs County (701) 797-2221
GRIGGS COUNTY NURSING HOME
Skilled Nursing Facility
1200 ROBERTS AVE NE
COOPERSTOWN, ND 58425
Griggs County (701) 797-2221
AGASSIZ DENTAL ASSOCIATES, PC
Dentist
1200 ROBERTS AVE NE
COOPERSTOWN, ND 58425
Griggs County (701) 797-2641
COOPERSTOWN MEDICAL CENTER
Skilled Nursing Facility
1200 ROBERTS AVE NE
COOPERSTOWN, ND 58425
Griggs County (701) 797-2221
KEVIN S JACOBSON NP
Nurse Practitioner
1200 ROBERTS AVE NE, COOPERSTOWN MEDICAL CENTER
COOPERSTOWN, ND 58425
Griggs County (701) 797-2128
MR. NORMAN LEO BERTHIAUME FNP-C
Nurse Practitioner (Primary Care)
1200 ROBERTS AVE NE
COOPERSTOWN, ND 58425
Griggs County (701) 797-2221

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 Debra Middleton's NPI number?

The NPI number for Debra Middleton is 1427073188. It was assigned to this individual provider in the NPPES registry on July 13, 2006. The provider is also known as Debra Stewart-Barber.

Where is Debra Middleton located?

Debra Middleton practices at 1200 Roberts Ave NE, Cooperstown, ND 58425. The listed phone number is (701) 797-2221.

What is Debra Middleton's specialty?

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

Is Debra Middleton enrolled in Medicare?

Yes. Debra Middleton 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 Debra Middleton accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Debra Middleton 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 Debra Middleton affiliated with any hospitals?

According to CMS data, Debra Middleton is affiliated with Sanford Medical Center Bismarck and Jacobson Memorial Hospital Care Center.

When was this NPI record last updated?

The NPPES record for Debra Middleton was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.