MAILYN MARIE MOZINGO PMHNP
NPI 1639950348
Nurse Practitioner - Psychiatric/Mental Health in Fargo, ND
About Mailyn Marie Mozingo Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAILYN MARIE MOZINGO PMHNP (NPI 1639950348) is an individual psychiatric/mental health provider in Fargo, North Dakota, licensed in North Dakota (R40973) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
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
Mailyn Marie Mozingo Pmhnp 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 Mailyn Mozingo 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.
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 Mailyn Mozingo's NPI number?
The NPI number for Mailyn Mozingo is 1639950348. It was assigned to this individual provider in the NPPES registry on October 9, 2023.
Where is Mailyn Mozingo located?
Mailyn Mozingo practices at 510 4th St S, Fargo, ND 58103. The listed phone number is (701) 476-7200.
What is Mailyn Mozingo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Mailyn Mozingo enrolled in Medicare?
Yes. Mailyn Mozingo 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 Mailyn Mozingo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mailyn Mozingo 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 Mailyn Mozingo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mailyn Mozingo accept?
Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Mailyn Mozingo 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 Mailyn Mozingo was last updated on June 18, 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.
# Mailyn Marie Mozingo, PMHNP · NPI 1639950348
Psychiatric/Mental Health physician in Fargo, North Dakota. Individual provider, active in the CMS NPPES registry since October 9, 2023.
## Identity
- **NPI:** 1639950348 (Entity type: Individual)
- **Enumerated:** October 9, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R40973 (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 2023
## Record status
- **NPPES last updated:** June 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1639950348) · Data from the CMS NPPES public registry.