MRS. DEBRA ANDVIK PAC
NPI 1821172404
Physician Assistant - Medical in Fargo, ND

Q: What is Debra Andvik's NPI number?

The NPI number for Debra Andvik is 1821172404. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Q: What is Debra Andvik's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Debra Andvik was last updated on March 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 October 24, 2006PECOS Enrolled

3280 20TH ST S, FARGO, ND 58104(701) 499-4800(701) 451-9452 Get Directions Write a Review

NPPES record last updated: March 4, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Debra Andvik Pac NPPES

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

MRS. DEBRA ANDVIK PAC (NPI 1821172404) is an individual medical provider in Fargo, North Dakota, licensed in North Dakota (PAC0194) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821172404

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. DEBRA ANDVIKCredential: PAC

Location Address3280 20TH ST SFargo, ND 58104-5917

Mailing Address3280 20th St SFargo, ND 58104-5917 · (701) 499-4800 · Fax (701) 451-9452

Phone(701) 499-4800

Fax(701) 451-9452

Sole ProprietorNo

Enumeration DateOctober 24, 2006

Last NPPES UpdateMarch 4, 2009

✔ NPI 1821172404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in ND · PAC0194

3280 20TH ST S, Fargo, ND 58104

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Other Identifiers 7

Other212K9ANMN · Mnbs

Other024067ND · Ndbs

Medicare ID-Type UnspecifiedN24067ND

Medicare UPINS46047ND

Medicaid048592600MN

OtherP00189293ND · Railroad Medicare

Medicaid16541ND

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Debra Andvik Pac 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$91.53 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PSI SURGICAL CENTER LLC

Clinic/Center (Ambulatory Surgical)