Miranda Schaan
Nurse Practitioner in Fargo, ND. Individual provider (NPI-1).
NPI number1013673672
StatusActive
Last updated in NPPESApr 5, 2022
Details
- NPI
- 1013673672
- Entity type
- Individual (NPI-1)
- Name
- Miranda Schaan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 9, 2021
- Certification date
- Apr 5, 2022
- Last updated
- Apr 5, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | R36695 | ND | Yes |
| 363LW0102X | Nurse Practitioner, Women's Health | R36695 | ND |
Practice location
5225 23rd Ave SFargo, ND 58104-7927
Phone 701-417-2575
Mailing address
Po Box 5074Sioux Falls, SD 57117-5074
Other practice locations
737 Broadway N
Fargo, ND 58102-4421
Fargo, ND 58102-4421
Phone 701-234-3443 · Fax 701-234-2322
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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