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DESIREE JOANNE GAGNER-TJELLESEN RNCSAPRNBC NPI 1518906437


NPI Information

NPI: 1518906437
Provider Name: DESIREE JOANNE GAGNER-TJELLESEN, RNCS,APRN,BC
Classification: Clinical Nurse Specialist - 364S00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
151 S 4TH ST
SUITE 401
GRAND FORKS, ND
ZIP 58201
Phone: (701) 795-3000
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Desiree Joanne Gagner-tjellesen, RNCS,APRN,BC is a clinical nurse specialist in Grand Forks, ND with 24 years of experience. The provider is a registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. Desiree Joanne Gagner-tjellesen, RNCS,APRN,BC NPI is 1518906437. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

151 S 4TH ST
SUITE 401
GRAND FORKS, ND
ZIP 58201-715
Phone: (701) 795-3000
Fax: (701) 795-3050

The NPI 1518906437 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/6/2006 and was last updated on 3/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1364S00000XClinical Nurse SpecialistR24745NORTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1638R1GAOTHERMINNESOTABCBS MN PROVIDER NUMBER
2020043OTHERNORTH DAKOTABCBS ND PROVIDER NUMBER
3054519MEDICAIDNORTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.