MARI CHARISE KNUDSEN MD
NPI 1790282887
Pediatrics in Fargo, ND

Q: What is Mari Knudsen's NPI number?

The NPI number for Mari Knudsen is 1790282887. It was assigned to this individual provider in the NPPES registry on April 6, 2018. The provider is also known as Mari Goldade.

Q: What is Mari Knudsen's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Mari Knudsen was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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 April 06, 2018PECOS Enrolled

1702 UNIVERSITY DR S, FARGO, ND 58103(701) 364-3300 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 10, 2025, Nov 4, 2022, Sep 16, 2019 (3 updates tracked since 2019).

On this page

About Mari Charise Knudsen Md NPPES

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

MARI CHARISE KNUDSEN MD (NPI 1790282887) is an individual pediatrics provider in Fargo, North Dakota, licensed in North Dakota (18887) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1790282887

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMARI CHARISE KNUDSENCredential: MD

Location Address1702 UNIVERSITY DR SFargo, ND 58103-4940

Mailing Address1702 University Dr SFargo, ND 58103-4940

Phone(701) 364-3300

Sole ProprietorNo

Enumeration DateApril 6, 2018

Last NPPES UpdateJune 10, 20253 updates tracked since enumeration

NPPES CertifiedJune 10, 2025

✔ NPI 1790282887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in ND · 18887✔ Licensed in MT · 99214✔ Licensed in UT · 11405426-1205

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1702 UNIVERSITY DR S, Fargo, ND 58103

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Other Names 1

Former Name (1)Mari Goldade

Secondary Practice Locations 2

Location 11273 Burns WayKalispell, MT 59901-3109 · Phone (406) 752-8300 · Fax (406) 752-3542

Location 2202 Conway Dr Ste 200Kalispell, MT 59901-3153 · Phone (406) 758-7490 · Fax (406) 758-7080

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross Blue Shield of North Dakota, Mountain Health CO-OP and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mari Charise Knudsen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Mari Knudsen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Innovis Health LLC

Same address

Family Medicine

1702 UNIVERSITY DR S
Fargo, ND 58103

Reassigned Medicare billing, North Dakota enrollment
617 clinicians in this Medicare group

NPI 1255677084 (701) 364-3300

Kalispell Regional Medical Center Inc

812 mi

Primary Care

8299 MT HIGHWAY 35
Bigfork, MT 59911

Reassigned Medicare billing, Montana enrollment
483 clinicians in this Medicare group

NPI 1164726428 (406) 837-5541

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.

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.

BANGALORE S VIJAYALAKSHMI MD

Physical Medicine & Rehabilitation