TREVOR HAUSAUER APRN,CNP
NPI 1891171112
Nurse Practitioner - Family in Fargo, ND

Active since August 10, 2015Opted out of Medicare · through Oct 1, 2027
1702 UNIVERSITY DR S, FARGO, ND 58103(701) 364-3300(701) 364-8906 Get Directions Write a Review

NPPES record last updated: December 24, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Trevor Hausauer Aprn,cnp NPPES

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

TREVOR HAUSAUER APRN,CNP (NPI 1891171112) is an individual family provider in Fargo, North Dakota, licensed in North Dakota (R33822) and active in the NPI registry since August 2015. He has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1891171112
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTREVOR HAUSAUERCredential: APRN,CNP
Location Address1702 UNIVERSITY DR SFargo, ND 58103-4940
Mailing AddressPo Box 6001Fargo, ND 58108-6001 · (701) 364-3300
Fax(701) 364-8906
Sole ProprietorNo
Enumeration DateAugust 10, 2015
Last NPPES UpdateDecember 24, 2015
NPI 1891171112 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 · R33822
1702 UNIVERSITY DR S, Fargo, ND 58103

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Trevor Hausauer Aprn,cnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2019 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2019
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

Dermatology
1702 UNIVERSITY DR S
FARGO, ND 58103
Otolaryngology
1702 UNIVERSITY DR S
FARGO, ND 58103
Clinical Medical Laboratory
1702 UNIVERSITY DR S
FARGO, ND 58103
Speech-Language Pathologist
1702 UNIVERSITY DR S
FARGO, ND 58103
Pediatrics
1702 UNIVERSITY DR S
FARGO, ND 58103
Internal Medicine (Rheumatology)
1702 UNIVERSITY DR S
FARGO, ND 58103
Physical Medicine & Rehabilitation
1702 UNIVERSITY DR S
FARGO, ND 58103
Internal Medicine
1702 UNIVERSITY DR S
FARGO, ND 58103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891171112, enumerated as an "individual" on August 10, 2015.

The provider is located at 1702 UNIVERSITY DR S FARGO, ND 58103 and the phone number is (701) 364-3300.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.