PRAIRIE ST JOHN'S
NPI 1679709802
Psychiatric Hospital in Fargo, ND

Active since June 02, 2009
510 4TH ST S, FARGO, ND 58103(701) 476-7200(701) 280-5789 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 29, 2024, Aug 18, 2016 (2 updates tracked since 2016).

About Prairie St John's NPPES

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

PRAIRIE ST JOHN'S (NPI 1679709802) is a healthcare organization registered as a psychiatric hospital in Fargo, North Dakota and active in the NPI registry since June 2009. The organization maintains a secondary practice location in Fargo and lists Steve Filton, Srvp Cfo, as its authorized official.

NPPES Registry Identity

NPI1679709802
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NamePSJ ACQUISITION LLC
Location Address510 4TH ST SFargo, ND 58103
Mailing Address510 4th St SFargo, ND 58103 · (701) 476-7200 · Fax (701) 280-5789
Fax(701) 280-5789
Organization SubpartNo
Authorized OfficialSteve FiltonSrvp Cfo · (610) 768-3300
Enumeration DateJune 2, 2009
Last NPPES UpdateApril 29, 20242 updates tracked since enumeration
NPPES CertifiedApril 29, 2024
✔ NPI 1679709802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
510 4TH ST S, Fargo, ND 58103

Other Names 1

Doing Business AsPrairie St John's

Secondary Practice Location 1

Location 1390 6th Ave SFargo, ND 58103-1918 · Phone (701) 476-7200

Other Identifiers 2

Medicaid11051ND
Medicaid99725100MN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prairie St John's is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

65

Medicare enrollment records show 65 clinicians reassign Medicare billing to Prairie St John's, which bills Medicare for the services they deliver. Of these, 12 practice at this address and 27 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Psychiatry39
Nurse Practitioner21
Clinical Psychologist3
Clinical Social Worker2

Nearest to this location (20)

See all 65
Nurse Practitioner
NPI 1841817384
510 4TH ST S
Fargo, ND 58103
(701) 476-7200
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1427858174
510 4TH ST S
Fargo, ND 58103
(701) 476-7200
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1639950348
510 4TH ST S
Fargo, ND 58103
(701) 476-7200
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1467164012
510 4TH ST S
Fargo, ND 58103
(701) 476-7200
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1558931097
510 4TH ST S
Fargo, ND 58103
(701) 476-7200
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1346861473
510 4TH ST S
Fargo, ND 58103
(605) 400-8680
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1043183973
510 4TH ST S
Fargo, ND 58103
(701) 476-7200
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1912620956
510 4TH ST S
Fargo, ND 58103
(918) 344-1063
✔ PECOSSame address
Psychiatry
NPI 1023111606
510 4TH STREET S
Fargo, ND 58107
(701) 476-7200
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1043763220
510 4TH ST S
Fargo, ND 58103
(701) 476-7200
✔ PECOSSame address
Clinical Psychologist
NPI 1306274600
510 4TH ST S
Fargo, ND 58103
(701) 476-7200
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1093807182
510 4TH ST SOUTH PRAIRIE ST JOHNS LLC
Fargo, ND 58107
(701) 476-7200
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1144323700
1301 8TH ST S
Moorhead, MN 56560
(701) 234-3100
✔ PECOS✔ Accepts Medicare0.9 mi
Psychiatry
NPI 1346479185
1702 UNIVERSITY DRIVE SOUTH
Fargo, ND 58103
(701) 364-3300
✔ PECOS1.2 mi
Nurse Practitioner
NPI 1215312236
1132 28TH AVE S STE 102
Moorhead, MN 56560
(218) 512-0630
✔ PECOS1.8 mi
Nurse Practitioner
NPI 1336481803
819 30TH AVE S STE 206
Moorhead, MN 56560
(218) 477-1353
✔ PECOS✔ Accepts Medicare2.0 mi
Clinical Psychologist
NPI 1467555078
510 4 ST S
Fargo, ND 58103
(701) 476-7800
✔ PECOS✔ Accepts Medicare2.0 mi
Clinical Social Worker
NPI 1053474411
1351 PAGE DR S STE 201
Fargo, ND 58103
(701) 203-9013
✔ PECOS✔ Accepts Medicare2.1 mi
Psychiatry
NPI 1437726304
1919 ELM ST N
Fargo, ND 58102
(701) 293-4113
✔ PECOS✔ Accepts Medicare2.6 mi
Clinical Psychologist
NPI 1083937270
3401 45TH ST S STE A
Fargo, ND 58104
(701) 356-4384
✔ PECOS4.7 mi
See all 65 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Quality Ratings CMS Care Compare

Quality and patient-experience ratings for Prairie St John's (CMS certification number 354004), from CMS Care Compare.

Prairie St John's

Psychiatric · Fargo, ND
OwnershipProprietary
CMS Certification Number354004
Location510 4th Street SouthFargo, ND 58103 · Cass County · (701) 476-7200

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 Psj Acquisition LLC's NPI number?

The NPI number for Psj Acquisition LLC is 1679709802. It was assigned to this organization in the NPPES registry on June 2, 2009. The provider is doing business as Prairie St John's.

Where is Psj Acquisition LLC located?

Psj Acquisition LLC is located at 510 4th St S, Fargo, ND 58103. The listed phone number is (701) 476-7200.

What is Psj Acquisition LLC's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

Is Psj Acquisition LLC enrolled in Medicare?

Yes. Psj Acquisition LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Psj Acquisition LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 65 clinicians in 4 Medicare specialties reassign their Medicare billing to Psj Acquisition LLC. A 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 the clinician's services. The largest specialties are Psychiatry (39), Nurse Practitioner (21) and Clinical Psychologist (3). Of these, 12 practice at this address and 27 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Is Psj Acquisition LLC a Medicare-certified hospital?

Yes. Prairie St John's is a Medicare-certified hospital (Psychiatric).

What insurance does Psj Acquisition LLC accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Psj Acquisition LLC 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 Psj Acquisition LLC was last updated on April 29, 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.