BONNIE S KVISTAD MD
NPI 1659491090
Pediatrics in Fargo, ND
About Bonnie S Kvistad Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BONNIE S KVISTAD MD (NPI 1659491090) is an individual pediatrics provider in Fargo, North Dakota, licensed in North Dakota (11205) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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 (PECOS)
Bonnie S Kvistad Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Bonnie Kvistad reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fargo, ND 58102
- Reassigned Medicare billing, North Dakota enrollment
- 1,464 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.
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 Bonnie Kvistad's NPI number?
The NPI number for Bonnie Kvistad is 1659491090. It was assigned to this individual provider in the NPPES registry on March 30, 2007.
Where is Bonnie Kvistad located?
Bonnie Kvistad practices at 2701 13th Ave S, Fargo, ND 58103. The listed phone number is (701) 234-3620.
What is Bonnie Kvistad's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Bonnie Kvistad enrolled in Medicare?
Yes. Bonnie Kvistad is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Bonnie Kvistad's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bonnie Kvistad reassigns Medicare benefits to Sanford Medical Center Fargo (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 Bonnie Kvistad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bonnie Kvistad accept?
Health plans from Blue Cross Blue Shield of North Dakota, Sanford Health Plan and Security Health Plan list Bonnie Kvistad 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 Bonnie Kvistad was last updated on March 25, 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.
# Bonnie S Kvistad, MD · NPI 1659491090
Pediatrics physician in Fargo, North Dakota. Individual provider, active in the CMS NPPES registry since March 30, 2007.
## Identity
- **NPI:** 1659491090 (Entity type: Individual)
- **Enumerated:** March 30, 2007
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 11205 (North Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2701 13TH AVE S, Fargo, ND 58103-3602
- **Phone:** (701) 234-3620
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Sanford Medical Center Fargo (NPI 1952323974, Fargo, ND), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 25, 2022
- **Other identifiers:** Medicaid 724690000 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1659491090) · Data from the CMS NPPES public registry.