RUSSELL JAMES NIFFENEGGER NP
NPI 1659154706
Nurse Practitioner - Family in Grand Forks, ND

Active since August 14, 2023
2100 S COLUMBIA RD STE 114, GRAND FORKS, ND 58201(701) 516-4637(877) 651-1381 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Russell James Niffenegger Np NPPES

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

RUSSELL JAMES NIFFENEGGER NP (NPI 1659154706) is an individual family provider in Grand Forks, North Dakota, licensed in North Dakota (R42886) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1659154706
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameRUSSELL JAMES NIFFENEGGERCredential: NP
Location Address2100 S COLUMBIA RD STE 114Grand Forks, ND 58201-5895
Mailing Address1079 Deer Trail Ln NeThompson, ND 58278-9400 · (701) 740-9272
Fax(877) 651-1381
Sole ProprietorYes
Enumeration DateAugust 14, 2023
Last NPPES UpdateMarch 28, 2024
NPPES CertifiedMarch 28, 2024
NPI 1659154706 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 · R42886
2100 S COLUMBIA RD STE 114, Grand Forks, ND 58201

Other Names 1

Former Name (1)Russell Milton Willis

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
2100 S COLUMBIA RD STE 114
GRAND FORKS, ND 58201
Chiropractor
2100 S COLUMBIA RD STE 114
GRAND FORKS, ND 58201
Nurse Practitioner
2100 S COLUMBIA RD STE 114
GRAND FORKS, ND 58201
Nurse Practitioner (Family)
2100 S COLUMBIA RD STE 114
GRAND FORKS, ND 58201
Nurse Practitioner (Family)
2100 S COLUMBIA RD STE 114
GRAND FORKS, ND 58201
Family Medicine (Adult Medicine)
2100 S COLUMBIA RD STE 114
GRAND FORKS, ND 58201
Registered Nurse
2100 S COLUMBIA RD STE 114
GRAND FORKS, ND 58201

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 Russell Niffenegger's NPI number?

The NPI number for Russell Niffenegger is 1659154706. It was assigned to this individual provider in the NPPES registry on August 14, 2023. The provider is also known as Russell Milton Willis.

Where is Russell Niffenegger located?

Russell Niffenegger practices at 2100 S Columbia Rd Ste 114, Grand Forks, ND 58201. The listed phone number is (701) 516-4637.

What is Russell Niffenegger's specialty?

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

When was this NPI record last updated?

The NPPES record for Russell Niffenegger was last updated on March 28, 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.