MRS. JULIE MARIE KETTERLING FNP
NPI 1679923940
Nurse Practitioner - Family in Fargo, ND

Q: What is Julie Ketterling's NPI number?

The NPI number for Julie Ketterling is 1679923940. It was assigned to this individual provider in the NPPES registry on June 17, 2016. The provider is also known as Miss Julie Marie Hageman Fnp.

Q: What is Julie Ketterling's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Julie Ketterling was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 17, 2016PECOS EnrolledAccepts Medicare Assignment

2400 32ND AVE S, FARGO, ND 58103(701) 234-2000 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 13, 2023, Mar 14, 2017, Aug 11, 2016 and 2 more (5 updates tracked since 2016).

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About Mrs. Julie Marie Ketterling Fnp NPPES

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

MRS. JULIE MARIE KETTERLING FNP (NPI 1679923940) is an individual family provider in Fargo, North Dakota, licensed in North Dakota (R35151) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Essentia Health, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1679923940

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. JULIE MARIE KETTERLINGCredential: FNP

Location Address2400 32ND AVE SFargo, ND 58103-5800

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585

Phone(701) 234-2000

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 17, 2016

Last NPPES UpdateJune 13, 20235 updates tracked since enumeration

NPPES CertifiedJune 13, 2023

✔ NPI 1679923940 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 · R35151

2400 32ND AVE S, Fargo, ND 58103

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Other Names 1

Former Name (1)Miss Julie Marie Hageman Fnp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, 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 and accepts Medicare assignment

Mrs. Julie Marie Ketterling Fnp 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.

PECOS PAC ID3870887078

PECOS Enrollment IDI20160811000204, I20250505002246

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.

Essentia Health

Acute Care Hospitals · Fargo, ND

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number350070

Location3000 32nd Ave SouthFargo, ND 58104 · Cass County

Emergency services Birthing friendly

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.

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.

JASON C MYRMOE MD

Family Medicine