TERRY L BREIDENBACH NP
NPI 1902098031
Nurse Practitioner in Fargo, ND

Active since August 13, 2007PECOS EnrolledAccepts Medicare Assignment
82.99/100
CMS Quality Rating
1720 UNIVERSITY DR S, FARGO, ND 58103(701) 234-7400(701) 280-4492 Get Directions Write a Review

NPPES record last updated: December 19, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Terry L Breidenbach Np NPPES

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

TERRY L BREIDENBACH NP (NPI 1902098031) is an individual nurse practitioner in Fargo, North Dakota, licensed in North Dakota (R29748) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1902098031
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTERRY L BREIDENBACHCredential: NP
Location Address1720 UNIVERSITY DR SFargo, ND 58103-4940
Mailing Address1720 University Dr SFargo, ND 58103-4940 · (701) 234-7400 · Fax (701) 280-4492
Fax(701) 280-4492
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 13, 2007
Last NPPES UpdateDecember 19, 2007
NPI 1902098031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in ND · R29748
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1720 UNIVERSITY DR S, Fargo, ND 58103

Other Names 1

Former Name (1)Terry L Hovland

Other Identifiers 2

Medicare PINN712766ND
Medicaid19875ND

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Terry L Breidenbach Np 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 ID345333886
PECOS Enrollment IDI20070829000703
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
141 services119 patients
New patient office or other outpatient visit, 45-59 minutes 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
36 services36 patients
Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
35 services33 patients
New patient office or other outpatient visit, 45-59 minutes 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
28 services28 patients
Established patient office or other outpatient visit, 40-54 minutes 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
26 services21 patients

Hospital Affiliations CMS Care Compare

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

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.06
Promoting Interoperability99
Improvement Activities40
Cost57.08

Referred Medical Equipment & Supplies CMS DME claims 17

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
15 suppliers249 claims249 services$41.17 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
16 suppliers178 claims178 services$101.56 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
16 suppliers227 claims503 services$38.92 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
9 suppliers69 claims294 services$20.78 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
6 suppliers33 claims121 services$14.81 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
10 suppliers88 claims88 services$63.53 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 20

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

Family Medicine
1720 UNIVERSITY DR S
FARGO, ND 58103
Psychologist (Psychoanalysis)
1720 UNIVERSITY DR S
FARGO, ND 58103
Psychologist (Psychoanalysis)
1720 UNIVERSITY DR S
FARGO, ND 58103
Family Medicine
1720 UNIVERSITY DR S
FARGO, ND 58103
Social Worker (Clinical)
1720 UNIVERSITY DR S
FARGO, ND 58103
Family Medicine
1720 UNIVERSITY DR S
FARGO, ND 58103
Counselor (Professional)
1720 UNIVERSITY DR S
FARGO, ND 58103
Social Worker (Clinical)
1720 UNIVERSITY DR S
FARGO, ND 58103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902098031, enumerated as an "individual" on August 13, 2007.

The provider is located at 1720 UNIVERSITY DR S FARGO, ND 58103 and the phone number is (701) 234-7400.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield of North Dakota, Medica,. Please consult your insurance carrier or call the provider to verify.

Terry Breidenbach is affiliated with: SANFORD MEDICAL CENTER FARGO.