Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CARRIE M BROWER-BREITWIESER PHD
NPI 1811231962
Psychologist - Clinical Child & Adolescent in Fargo, ND

Active since November 15, 2012PECOS EnrolledAccepts Medicare Assignment
3955 56TH ST S STE D, FARGO, ND 58104(701) 417-7500 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Carrie M Brower-breitwieser Phd NPPES

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

CARRIE M BROWER-BREITWIESER PHD (NPI 1811231962) is an individual clinical child & adolescent provider in Fargo, North Dakota, licensed in North Dakota (472) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fargo, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1811231962
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameCARRIE M BROWER-BREITWIESERCredential: PHD
Location Address3955 56TH ST S STE DFargo, ND 58104-4845
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateNovember 15, 2012
Last NPPES UpdateOctober 15, 2026
NPPES CertifiedOctober 15, 2026
✔ NPI 1811231962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in ND · 472
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
3955 56TH ST S STE D, Fargo, ND 58104

Secondary Practice Location 1

Location 1801 Broadway NFargo, ND 58102-3641 · Phone (701) 234-4141

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carrie M Brower-breitwieser Phd 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 ID2466604426
PECOS Enrollment IDI20121220000431
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 Reassignment

Medicare enrollment records show Carrie Brower-breitwieser reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
1220 SHEYENNE ST
West Fargo, ND 58078
  • 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.

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.

Social Worker
3955 56TH ST S STE D
FARGO, ND 58104
Dietitian, Registered
3955 56TH ST S STE D
FARGO, ND 58104
Family Medicine
3955 56TH ST S STE D
FARGO, ND 58104
Nurse Practitioner (Family)
3955 56TH ST S STE D
FARGO, ND 58104
Social Worker (Clinical)
3955 56TH ST S STE D
FARGO, ND 58104
Social Worker
3955 56TH ST S STE D
FARGO, ND 58104
Pediatrics (Developmental - Behavioral Pediatrics)
3955 56TH ST S STE D
FARGO, ND 58104
Nurse Practitioner
3955 56TH ST S STE D
FARGO, ND 58104

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 Carrie Brower-breitwieser's NPI number?

The NPI number for Carrie Brower-breitwieser is 1811231962. It was assigned to this individual provider in the NPPES registry on November 15, 2012.

Where is Carrie Brower-breitwieser located?

Carrie Brower-breitwieser practices at 3955 56th St S Ste D, Fargo, ND 58104. The listed phone number is (701) 417-7500.

What is Carrie Brower-breitwieser's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Carrie Brower-breitwieser enrolled in Medicare?

Yes. Carrie Brower-breitwieser is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Carrie Brower-breitwieser's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carrie Brower-breitwieser reassigns Medicare benefits to Sanford Medical Center Fargo (West 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 Carrie Brower-breitwieser's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carrie Brower-breitwieser accept?

Health plans from Blue Cross Blue Shield of North Dakota, Sanford Health Plan and Security Health Plan list Carrie Brower-breitwieser 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 Carrie Brower-breitwieser was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.