Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DESIREE JOANNE GAGNER-TJELLESEN RNCS,APRN,BC
NPI 1518906437
Clinical Nurse Specialist in Grand Forks, ND

Q: What is Desiree Gagner-tjellesen's NPI number?

The NPI number for Desiree Gagner-tjellesen is 1518906437. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Q: What is Desiree Gagner-tjellesen's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist with taxonomy code 364S00000X.

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment

151 S 4TH ST, SUITE 401, GRAND FORKS, ND 58201(701) 795-3000(701) 795-3050 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 13, 2026, Mar 7, 2023 (2 updates tracked since 2023).

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About Desiree Joanne Gagner-tjellesen Rncs,aprn,bc NPPES

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

DESIREE JOANNE GAGNER-TJELLESEN RNCS,APRN,BC (NPI 1518906437) is an individual clinical nurse specialist in Grand Forks, North Dakota, licensed in North Dakota (R24745) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Altru Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1518906437

Entity TypeIndividualFemale

Primary Taxonomy364S00000X

Provider Legal NameDESIREE JOANNE GAGNER-TJELLESENCredential: RNCS,APRN,BC

Location Address151 S 4TH ST, SUITE 401Grand Forks, ND 58201-4715

Mailing Address151 S 4th St, Suite 401Grand Forks, ND 58201-4715 · (701) 795-3000 · Fax (701) 795-3050

Phone(701) 795-3000

Fax(701) 795-3050

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateJune 6, 2006

Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration

✔ NPI 1518906437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364S00000X

License✔ Licensed in ND · R24745

Definition

A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.

151 S 4TH ST, Grand Forks, ND 58201

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Other Identifiers 3

Other638R1GAMN · Bcbs Mn Provider Number

Other020043ND · Bcbs Nd Provider Number

Medicaid054519ND

Accepted Insurance

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

Desiree Joanne Gagner-tjellesen Rncs,aprn,bc 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 ID7416092739

PECOS Enrollment IDI20100310000897

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 2

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.

175 services44 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.

24 services15 patients

Hospital Affiliations CMS Care Compare 2

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

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

Unity Medical Center

Critical Access Hospitals · Grafton, ND

OwnershipVoluntary non-profit - Private

CMS Certification Number351320

Location164 W 13th StreetGrafton, ND 58237 · Walsh County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58201 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

$127.45 typical visit price

range $55.75 – $168.12

Typical copayment $31.86 (range $13.93 – $42.03)

Most-billed visit code 99204

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.

BEVERLY ANN SNYDER RN

Registered Nurse

151 S 4TH ST, SUITE 401
GRAND FORKS, ND 58201

Grand Forks County (701) 795-3084

DONNA JEAN JOHNSON LSW

Social Worker

151 S 4TH ST, SUITE 401
GRAND FORKS, ND 58201

Grand Forks County (701) 795-3000

KRISTI ANDERSON LARSON

Social Worker

151 S 4TH ST, SUITE 201
GRAND FORKS, ND 58201

Grand Forks County (701) 787-8540

KATRINA JOHNSON

Social Worker

151 S 4TH ST, SUITE 201
GRAND FORKS, ND 58201

Grand Forks County (701) 787-8540

MICHELLE MARIE TUPA LSW

Social Worker

151 S 4TH ST, SUITE 401
GRAND FORKS, ND 58201

Grand Forks County (701) 795-3000

COURTNEY HAVILAND LCSW

Social Worker (Clinical)

151 S 4TH ST
GRAND FORKS, ND 58201

Grand Forks County (701) 795-3000

MS. RACHEL A AMBERS LICSW

Social Worker (Clinical)

151 S 4TH ST, SUITE 401
GRAND FORKS, ND 58201

Grand Forks County (701) 795-3000

MARISSA S GRAVELLE

Case Manager/Care Coordinator

151 S 4TH ST, SUITE 401
GRAND FORKS, ND 58201

Grand Forks County (701) 795-3000

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 Desiree Gagner-tjellesen's NPI number?

The NPI number for Desiree Gagner-tjellesen is 1518906437. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Desiree Gagner-tjellesen located?

Desiree Gagner-tjellesen practices at 151 S 4th St Suite 401, Grand Forks, ND 58201. The listed phone number is (701) 795-3000.

What is Desiree Gagner-tjellesen's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist with taxonomy code 364S00000X.

Is Desiree Gagner-tjellesen enrolled in Medicare?

Yes. Desiree Gagner-tjellesen 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 Desiree Gagner-tjellesen accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Desiree Gagner-tjellesen 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 Desiree Gagner-tjellesen affiliated with any hospitals?

According to CMS data, Desiree Gagner-tjellesen is affiliated with Altru Hospital and Unity Medical Center.

When was this NPI record last updated?

The NPPES record for Desiree Gagner-tjellesen was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.