MOLLY WAMBACH APRN-FNP
NPI 1558931097
Nurse Practitioner - Family in Fargo, ND
About Molly Wambach Aprn-fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOLLY WAMBACH APRN-FNP (NPI 1558931097) is an individual family provider in Fargo, North Dakota, licensed in North Dakota (R42008) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Molly Wambach Aprn-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.
Medicare Billing Reassignment
Medicare enrollment records show Molly Wambach reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fargo, ND 58103
- Reassigned Medicare billing, North Dakota enrollment
- 65 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
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.
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.
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 Molly Wambach's NPI number?
The NPI number for Molly Wambach is 1558931097. It was assigned to this individual provider in the NPPES registry on June 28, 2021.
Where is Molly Wambach located?
Molly Wambach practices at 510 4th St S, Fargo, ND 58103. The listed phone number is (701) 476-7200.
What is Molly Wambach's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Molly Wambach enrolled in Medicare?
Yes. Molly Wambach 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.
Which organization bills Medicare for Molly Wambach's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Molly Wambach reassigns Medicare benefits to Psj Acquisition LLC (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 Molly Wambach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Molly Wambach accept?
Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Molly Wambach 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 Molly Wambach was last updated on August 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Molly Wambach, APRN-FNP · NPI 1558931097
Family physician in Fargo, North Dakota. Individual provider, active in the CMS NPPES registry since June 28, 2021.
## Identity
- **NPI:** 1558931097 (Entity type: Individual)
- **Enumerated:** June 28, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R42008 (North Dakota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 510 4TH ST S, Fargo, ND 58103-1914
- **Phone:** (701) 476-7200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Psj Acquisition LLC (NPI 1679709802, Fargo, ND), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** August 29, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1558931097) · Data from the CMS NPPES public registry.