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ALICIA MARJORIE WOLFGRAM CRNA
NPI 1851664304
Nurse Anesthetist, Certified Registered in Grand Forks, ND

Active since February 14, 2012Accepts Medicare Assignment
1200 S COLUMBIA RD - ALTRU HOSPITAL, GRAND FORKS, ND 58201(701) 780-6000 Get Directions Write a Review

NPPES record last updated: March 26, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alicia Marjorie Wolfgram Crna NPPES

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

ALICIA MARJORIE WOLFGRAM CRNA (NPI 1851664304) is an individual nurse anesthetist, certified registered in Grand Forks, North Dakota, licensed in North Dakota (R29493) and active in the NPI registry since February 2012. She is affiliated with Altru Hospital and is a graduate of Other (2012).

NPPES Registry Identity

NPI1851664304
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameALICIA MARJORIE WOLFGRAMCredential: CRNA
Location Address1200 S COLUMBIA RD - ALTRU HOSPITALGrand Forks, ND 58201
Mailing Address2401 Demers AveGrand Forks, ND 58201 · (701) 780-1891
Phone(701) 780-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 14, 2012
Last NPPES UpdateMarch 26, 2019
✔ NPI 1851664304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in ND · R29493
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1200 S COLUMBIA RD - ALTRU HOSPITAL, Grand Forks, ND 58201
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Other Names 1

Former Name (1)Alicia Marjorie Wirth Crna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.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

Alicia Marjorie Wolfgram Crna 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 ID1254594765
PECOS Enrollment IDI20120521000436

Medicare Billing Reassignments

2

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

Altru Health System
Same address
General Acute Care Hospital
1200 S COLUMBIA RD
Grand Forks, ND 58201
  • Reassigned Medicare billing, North Dakota enrollment
  • 701 clinicians in this Medicare group
NPI 1154346161 (701) 780-5000
Northwood Deaconess Health Center
26 mi
Rural Health
611 TOWNER AVE
Larimore, ND 58251
  • Reassigned Medicare billing, North Dakota enrollment
  • Also billed through NPI 1356449136 (North Dakota)
  • 18 clinicians in this Medicare group
NPI 1689085797 (701) 431-2999

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
26 services25 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Altru Hospital

Acute Care Hospitals · Grand Forks, ND
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number350019
Location1200 S Columbia RdGrand Forks, ND 58201 · Grand Forks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58201 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
$127.45 typical visit price
range $55.75 – $168.12
Typical copayment $31.86 (range $13.93 – $42.03)
Most-billed visit code 99204
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
Most-billed visit code 99213
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.

BERNIE J DALLUM MD
Radiology (Diagnostic Radiology)
1200 S COLUMBIA RD - ALTRU HOSPITAL
GRAND FORKS, ND 58201
Grand Forks County (701) 780-5246
DR. BENITO W. AUBERGINE MD
Emergency Medicine
1200 S COLUMBIA RD - ALTRU HOSPITAL
GRAND FORKS, ND 58201
Grand Forks County (701) 780-5000
JESSICA ANNE BRATRUD CRNA
Nurse Anesthetist, Certified Registered
1200 S COLUMBIA RD - ALTRU HOSPITAL
GRAND FORKS, ND 58201
Grand Forks County (701) 780-6000
MONICA A. LAMM PA-C
Physician Assistant (Medical)
1200 S COLUMBIA RD - ALTRU HOSPITAL
GRAND FORKS, ND 58201
Grand Forks County (701) 780-6000
MRS. KRISTIN MARY PURCELL OT
Occupational Therapist
1200 S COLUMBIA RD - ALTRU HOSPITAL
GRAND FORKS, ND 58201
Grand Forks County (701) 780-5000
NATHAN KOLAND CRNA
Nurse Anesthetist, Certified Registered
1200 S COLUMBIA RD - ALTRU HOSPITAL
GRAND FORKS, ND 58201
Grand Forks County (701) 780-6000
TIMOTHY RICHARD SCHMIEDEBERG CRNA
Nurse Anesthetist, Certified Registered
1200 S COLUMBIA RD - ALTRU HOSPITAL
GRAND FORKS, ND 58201
Grand Forks County (701) 780-6000
KENDALL J HARMS CRNA
Nurse Anesthetist, Certified Registered
1200 S COLUMBIA RD - ALTRU HOSPITAL
GRAND FORKS, ND 58201
Grand Forks County (701) 780-6000

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 Alicia Wolfgram's NPI number?

The NPI number for Alicia Wolfgram is 1851664304. It was assigned to this individual provider in the NPPES registry on February 14, 2012. The provider is also known as Alicia Marjorie Wirth Crna.

Where is Alicia Wolfgram located?

Alicia Wolfgram practices at 1200 S Columbia Rd - Altru Hospital, Grand Forks, ND 58201. The listed phone number is (701) 780-6000.

What is Alicia Wolfgram's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Alicia Wolfgram enrolled in Medicare?

Yes. Alicia Wolfgram 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 organizations bill Medicare for Alicia Wolfgram's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alicia Wolfgram reassigns Medicare benefits to 2 organizations: Altru Health System (Grand Forks, ND) and Northwood Deaconess Health Center (Larimore, ND). Each 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 Alicia Wolfgram's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alicia Wolfgram accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Alicia Wolfgram 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.

Is Alicia Wolfgram affiliated with any hospitals?

According to CMS data, Alicia Wolfgram is affiliated with Altru Hospital.

When was this NPI record last updated?

The NPPES record for Alicia Wolfgram was last updated on March 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.