Samantha Jo Fugleberg, - Medicare Nurse Practitioner in Fargo, ND

Samantha Jo Fugleberg, is a medicare enrolled "Nurse Practitioner - Family" in Fargo, North Dakota. Her current practice location is 801 Broadway N Fl 3, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 234-4800.

Samantha Jo Fugleberg is licensed to practice in North Dakota (license number R36750) 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 1497489751.

Contact Information

Samantha Jo Fugleberg,
801 Broadway N Fl 3,
Fargo, ND 58102-3641
(701) 234-4800
Not Available



Provider's Profile

Full NameSamantha Jo Fugleberg
GenderFemale
SpecialityNurse Practitioner - Family
Location801 Broadway N Fl 3, 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: 1497489751
  • Provider Enumeration Date: 07/13/2022
  • Last Update Date: 04/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5991177362
  • Enrollment ID: I20230213000133

Medical Identifiers

Medical identifiers for Samantha Jo Fugleberg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497489751NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R36750 (North Dakota)Primary
363L00000XNurse Practitioner R36750 (North Dakota)Secondary

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. Samantha Jo Fugleberg 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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› Verified 8 days ago

Entity NameSanford Health Network North
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366478760
PECOS PAC ID: 8022206663
Enrollment ID: O20171226001068

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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. Samantha Jo Fugleberg 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
Samantha Jo Fugleberg,
Po Box 5074,
Sioux Falls, SD 57117-5074

Ph: (605) 328-6585
Samantha Jo Fugleberg,
801 Broadway N Fl 3,
Fargo, ND 58102-3641

Ph: (701) 234-4800

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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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