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SAMANTHA JO FUGLEBERG
NPI 1497489751
Nurse Practitioner - Family in Fargo, ND

Active since July 13, 2022PECOS EnrolledAccepts Medicare Assignment
801 BROADWAY N FL 3, FARGO, ND 58102(701) 234-4800 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 12, 2023, Dec 17, 2022, Jul 13, 2022 (3 updates tracked since 2022).

About Samantha Jo Fugleberg NPPES

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

SAMANTHA JO FUGLEBERG (NPI 1497489751) is an individual family provider in Fargo, North Dakota, licensed in North Dakota (R36750) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1497489751
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAMANTHA JO FUGLEBERG
Location Address801 BROADWAY N FL 3Fargo, ND 58102-3641
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585
Phone(701) 234-4800
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 13, 2022
Last NPPES UpdateApril 12, 20233 updates tracked since enumeration
NPPES CertifiedApril 12, 2023
✔ NPI 1497489751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in ND · R36750
Also ListedNurse PractitionerTaxonomy 363L00000X · License R36750 (ND)
801 BROADWAY N FL 3, Fargo, ND 58102
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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 and more.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

Samantha Jo Fugleberg 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 ID5991177362
PECOS Enrollment IDI20230213000133
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 4

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.

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.
137 services82 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.
112 services89 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
25 services13 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.
21 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Altru Hospital

Acute Care Hospitals · Grand Forks, ND
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number350019
Location1200 S Columbia RdGrand Forks, ND 58201 · Grand Forks County
Emergency services Birthing friendly

Sanford Mayville

Critical Access Hospitals · Mayville, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351309
Location42 6th Avenue SEMayville, ND 58257 · Traill County
Emergency services

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
$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.

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 Samantha Fugleberg's NPI number?

The NPI number for Samantha Fugleberg is 1497489751. It was assigned to this individual provider in the NPPES registry on July 13, 2022.

Where is Samantha Fugleberg located?

Samantha Fugleberg practices at 801 Broadway N Fl 3, Fargo, ND 58102. The listed phone number is (701) 234-4800.

What is Samantha Fugleberg's specialty?

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

Is Samantha Fugleberg enrolled in Medicare?

Yes. Samantha Fugleberg 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 Samantha Fugleberg accept?

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

According to CMS data, Samantha Fugleberg is affiliated with Sanford Medical Center Fargo, Altru Hospital and Sanford Mayville.

When was this NPI record last updated?

The NPPES record for Samantha Fugleberg was last updated on April 12, 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.