DR. QUEEN ELIZABETH FUGAH DNP
NPI 1619850831
Nurse Practitioner - Family in Williston, ND

Q: What is Queen Elizabeth Fugah's NPI number?

The NPI number for Queen Elizabeth Fugah is 1619850831. It was assigned to this individual provider in the NPPES registry on July 26, 2025.

Q: What is Queen Elizabeth Fugah's specialty?

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

Active since July 26, 2025PECOS Enrolled

1213 15TH AVE W, WILLISTON, ND 58801(701) 572-7651 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Queen Elizabeth Fugah Dnp NPPES

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

DR. QUEEN ELIZABETH FUGAH DNP (NPI 1619850831) is an individual family provider in Williston, North Dakota, licensed in North Dakota (202964) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with Chi St Alexius Health Williston, and maintains a secondary practice location in Williston.

NPPES Registry Identity

NPI1619850831

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDR. QUEEN ELIZABETH FUGAHCredential: DNP

Location Address1213 15TH AVE WWilliston, ND 58801-3800

Mailing Address13785 Marions Ridge RdWilliston, ND 58801-9589 · (850) 319-6666

Phone(701) 572-7651

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJuly 26, 2025

Last NPPES UpdateJuly 28, 2025

NPPES CertifiedJuly 28, 2025

✔ NPI 1619850831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in ND · 202964

1213 15TH AVE W, Williston, ND 58801

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Secondary Practice Location 1

Location 11213 15th Ave WWilliston, ND 58801-3800 · Phone (701) 572-7651

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 (PECOS)

Dr. Queen Elizabeth Fugah Dnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183127061

PECOS Enrollment IDI20250915003487

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.

Hospital Affiliations CMS Care Compare

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

Chi St Alexius Health Williston

Critical Access Hospitals · Williston, ND

OwnershipVoluntary non-profit - Church

CMS Certification Number351334

Location1301 15th Ave WWilliston, ND 58801 · Williams County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58801 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.

DR. PHILLIP J RUFFALO M.D.

Surgery

1213 15TH AVE W, SUITE 250
WILLISTON, ND 58801

Williams County (701) 577-0319

DR. ROBERT G. KEMP M.D.

Family Medicine