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STEFANIE ULRIKE HANISCH MD
NPI 1447350400
Psychiatry & Neurology - Child & Adolescent Psychiatry in Fargo, ND

Active since September 22, 2006PECOS Enrolled
82.99/100
CMS Quality Rating
2400 32ND AVE S, FARGO, ND 58103(701) 234-2000(701) 234-4024 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Stefanie Ulrike Hanisch Md NPPES

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

STEFANIE ULRIKE HANISCH MD (NPI 1447350400) is an individual child & adolescent psychiatry provider in Fargo, North Dakota, licensed in North Dakota (9460) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447350400
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameSTEFANIE ULRIKE HANISCHCredential: MD
Location Address2400 32ND AVE SFargo, ND 58103-5800
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-9419
Phone(701) 234-2000
Fax(701) 234-4024
Sole ProprietorNo
Enumeration DateSeptember 22, 2006
Last NPPES UpdateMay 20, 2025
NPPES CertifiedMay 20, 2025
✔ NPI 1447350400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses✔ Licensed in ND · 9460✔ Licensed in MN · 45431
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 45431 (MN), 9460 (ND)
2400 32ND AVE S, Fargo, ND 58103
Open in Google Maps ↗

Other Identifiers 5

Other28773ND · Nd Bcbs
OtherHP51767Healthpartners
Medicaid12303ND
Medicaid318605900MN
Other858K6HAMN · Mn Bcbs

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stefanie Ulrike Hanisch Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Stefanie Hanisch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sanford Medical Center Fargo
4.2 mi
Occupational Medicine
3838 12TH AVE N
Fargo, ND 58102
  • Reassigned Medicare billing, North Dakota enrollment
  • 1,464 clinicians in this Medicare group
NPI 1952323974 (701) 234-4700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 20

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

JASON C MYRMOE MD
Family Medicine
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-8779
DANA L STEGMILLER PA-C
Physician Assistant
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-8830
DARSHAN SINGH KHANGURA M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-7980
KIMBERLY CRANDALL RN, BSN, CDE
Registered Nurse (Diabetes Educator)
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-2245
NAOMI SCHULDT DNP, APRN, FNP-C
Nurse Practitioner (Family)
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-2000
RANDALL A KENNINGER MD
Family Medicine
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-8830
SOPHIA JUELL MS
Speech-Language Pathologist
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-4300
JEFFREY ALLEN RONDEAU MD
Obstetrics & Gynecology
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-8880

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 Stefanie Hanisch's NPI number?

The NPI number for Stefanie Hanisch is 1447350400. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Stefanie Hanisch located?

Stefanie Hanisch practices at 2400 32nd Ave S, Fargo, ND 58103. The listed phone number is (701) 234-2000.

What is Stefanie Hanisch's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Stefanie Hanisch enrolled in Medicare?

Yes. Stefanie Hanisch is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stefanie Hanisch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stefanie Hanisch reassigns Medicare benefits to Sanford Medical Center Fargo (Fargo, ND). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stefanie Hanisch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stefanie Hanisch accept?

Health plans from Blue Cross Blue Shield of North Dakota, HealthPartners, Medica, Sanford Health Plan and Security Health Plan list Stefanie Hanisch 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 Stefanie Hanisch was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.