ERIN LEE DICIOLLA RN, APRN, PMHNP-BC
NPI 1457134678
Nurse Practitioner - Psychiatric/Mental Health in Fargo, ND

Active since August 14, 2023PECOS Enrolled
1112 NODAK DR S, FARGO, ND 58103(701) 232-6224(701) 232-4687 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2025, Mar 13, 2025, Aug 12, 2024 and 4 more (7 updates tracked since 2023).

About Erin Lee Diciolla Rn, Aprn, Pmhnp-bc NPPES

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

ERIN LEE DICIOLLA RN, APRN, PMHNP-BC (NPI 1457134678) is an individual psychiatric/mental health provider in Fargo, North Dakota, licensed in North Dakota (R51586) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1457134678
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameERIN LEE DICIOLLACredential: RN, APRN, PMHNP-BC
Location Address1112 NODAK DR SFargo, ND 58103-2333
Mailing Address625 W Bryant Apt 106Springfield, MO 65810-8337 · (218) 689-0412
Fax(701) 232-4687
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 14, 2023
Last NPPES UpdateAugust 25, 20257 updates tracked since enumeration
NPPES CertifiedAugust 25, 2025
NPI 1457134678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in ND · R51586 Licensed in MO · 2024030370
1112 NODAK DR S, Fargo, ND 58103

Other Names 1

Former Name (1)Erin Lee Telander

Other Identifiers 3

Medicaid1492310ND
Medicaid334022758AR
Medicaid420145421MO

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)

Erin Lee Diciolla Rn, Aprn, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587006903
PECOS Enrollment IDI20240530000995
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 58103 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.

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.

Marriage & Family Therapist
1112 NODAK DR S
FARGO, ND 58103
Counselor (Professional)
1112 NODAK DR S
FARGO, ND 58103
Counselor (Professional)
1112 NODAK DR S
FARGO, ND 58103
Psychologist
1112 NODAK DR S
FARGO, ND 58103
Nurse Practitioner (Adult Health)
1112 NODAK DR S
FARGO, ND 58103
Social Worker
1112 NODAK DR S, SUITE 200
FARGO, ND 58103
Social Worker
1112 NODAK DR S
FARGO, ND 58103
Social Worker (Clinical)
1112 NODAK DR S
FARGO, ND 58103

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 Erin Diciolla's NPI number?

The NPI number for Erin Diciolla is 1457134678. It was assigned to this individual provider in the NPPES registry on August 14, 2023. The provider is also known as Erin Lee Telander.

Where is Erin Diciolla located?

Erin Diciolla practices at 1112 Nodak Dr S, Fargo, ND 58103. The listed phone number is (701) 232-6224.

What is Erin Diciolla's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Erin Diciolla enrolled in Medicare?

Yes. Erin Diciolla is registered in the Medicare PECOS enrollment system.

What insurance does Erin Diciolla accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Erin Diciolla 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 Erin Diciolla was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.