1. Home
  2. Directory
  3. North Dakota
  4. Fargo
  5. Internal Medicine
  6. NPI Profile

DR. WALISA K MAYNARD M.D.
NPI 1609906973
Internal Medicine - Hospice and Palliative Medicine in Fargo, ND

Active since March 06, 2007PECOS Enrolled
2101 ELM ST N, FARGO, ND 58102(701) 239-3700 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Walisa K Maynard M.d. NPPES

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

DR. WALISA K MAYNARD M.D. (NPI 1609906973) is an individual hospice and palliative medicine provider in Fargo, North Dakota, licensed in Georgia (50658) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609906973
Entity TypeIndividualFemale
Primary Taxonomy207RH0002X
Provider Legal NameDR. WALISA K MAYNARDCredential: M.D.
Location Address2101 ELM ST NFargo, ND 58102-2417
Mailing Address4040 Hospital West DrAustell, GA 30106-8117 · (770) 732-6798
Phone(701) 239-3700
Sole ProprietorNo
Enumeration DateMarch 6, 2007
Last NPPES UpdateJune 6, 2024
NPPES CertifiedJune 6, 2024
✔ NPI 1609906973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
License✔ Licensed in GA · 50658
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
2101 ELM ST N, Fargo, ND 58102
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Walisa K Maynard M.d. 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.

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.

GWEN P NORDAHL PA-C
Physician Assistant
2101 ELM ST N
FARGO, ND 58102
Cass County (218) 739-1400
ERICA MUCHOW RN
Registered Nurse
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 239-3700
JAZMYN RHEA HOGENSON RN
Registered Nurse (Medical-Surgical)
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 234-3241
HILLARY KATHERINE THEURER MSW
Social Worker
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 333-8135
KEVIN MCCARVEL RN
Registered Nurse (Ambulatory Care)
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 239-3700
INDRA P BHATTARAI
Specialist/Technologist, Pathology (Medical Technologist)
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 232-3241
MS. ROBIN LEE HARTMAN-BILBEN RN
Registered Nurse (Emergency)
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 237-2611
CEISHA LEINGANG RN
Registered Nurse
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 255-2048

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 Walisa Maynard's NPI number?

The NPI number for Walisa Maynard is 1609906973. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Walisa Maynard located?

Walisa Maynard practices at 2101 Elm St N, Fargo, ND 58102. The listed phone number is (701) 239-3700.

What is Walisa Maynard's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Walisa Maynard enrolled in Medicare?

Yes. Walisa Maynard is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Walisa Maynard was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.