Kallie Jo Wennerberg, AGNP-C - Medicare Nurse Practitioner in Fargo, ND

Kallie Jo Wennerberg, AGNP-C is a medicare enrolled "Nurse Practitioner" in Fargo, North Dakota. Her current practice location is 736 Broadway N, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 234-2000.

Kallie Jo Wennerberg is licensed to practice in North Dakota (license number R43359) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1538893920.

Contact Information

Kallie Jo Wennerberg, AGNP-C
736 Broadway N,
Fargo, ND 58102-4421
(701) 234-2000
Not Available



Provider's Profile

Full NameKallie Jo Wennerberg
GenderFemale
SpecialityNurse Practitioner
Location736 Broadway N, Fargo, North Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1538893920
  • Provider Enumeration Date: 07/12/2022
  • Last Update Date: 02/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9234503798
  • Enrollment ID: I20230323001876

Medical Identifiers

Medical identifiers for Kallie Jo Wennerberg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538893920NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner R43359 (North Dakota)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kallie Jo Wennerberg allows following entities to bill medicare on her behalf.
Entity NameSanford Medical Center Fargo
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184917924
PECOS PAC ID: 8426967803
Enrollment ID: O20110331000495

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kallie Jo Wennerberg is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kallie Jo Wennerberg, AGNP-C
Po Box 5074,
Sioux Falls, SD 57117-5074

Ph: () -
Kallie Jo Wennerberg, AGNP-C
736 Broadway N,
Fargo, ND 58102-4421

Ph: (701) 234-2000

News Archive

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Ovarian cancer shuts down immune system cells that would otherwise act as a first line of defense against the deadly tumor, Weill Cornell Medical College scientists report today. But a therapy that restores the cells' disease-fighting abilities could provide a powerful new strategy to attack the cancer, which kills more than 14,000 women each year.

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Nurse Practitioner Nurses in Fargo, ND

Wendy M Moore, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 901 28th St S, Fargo, ND 58103
Phone: 701-404-1100    Fax: 701-540-6498
Mrs. Kayla L. Nelson, DNP, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 301 Np Ave N, Fargo, ND 58102
Phone: 701-271-3344    
Kyrie Marie Severson, APRN, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4622 40th Ave S, Suite A, Fargo, ND 58104
Phone: 701-364-2909    Fax: 701-364-9822
Sadie Marie Nelson, APRN, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: Sanford Broadway Clinic, 801 North Broadway, Fargo, ND 58102
Phone: 701-234-2000    
Jessica Smolen, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 321 8th Ave N, Fargo, ND 58102
Phone: 701-234-2525    
Mr. Nicholas Henry Frederiksen, APRN,CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3000 32nd Ave S, Fargo, ND 58103
Phone: 701-364-8000    Fax: 701-364-8078
Erin Marie Wilmes Reiniger, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4671 38th St S, Fargo, ND 58104
Phone: 701-404-5100    Fax: 701-499-1166

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