Active NPI 1992406656 Individual Practitioner Female Practitioner

Sidney R Johnk , APRN, CNP

Nurse Practitioner - Pediatrics • Fargo, ND

Professional Overview & Biography Verified Profile Summary

Sidney Johnk, APRN, CNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Fargo, ND. Practice services are available at 4110 51ST AVE S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4110 51st Ave S

Fargo, ND 581047776

Telephone 7013643100

Associated Practice Facility / Clinic

🏢 Innovis Health Llc Facility NPI 1780043257

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Fargo, ND

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 22.0 Yrs

State Avg: 34.0 Yrs

Regional Practice Density

17 Specialists

Practicing in Fargo, ND (40 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-03-10

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License ND R42226

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners

Dr. Michelle Bradley , DO

Family Medicine

NPI 1003015314

Doctor of Osteopathic Medicine (D.O.)

Tonya Otto , APRN, CNP

Nurse Practitioner - Family

NPI 1003630302

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Melanie Hulm , PA-C

Physician Assistant

NPI 1073391033

Physician Assistant (Certified)

Dr. Zara Hussain , MD

Pediatrics

NPI 1215565908

Doctor of Medicine (M.D.)

Patrick Fahey , PA-C

Physician Assistant

NPI 1225576739

Physician Assistant (Certified)

Dr. Ashley Wilke , MD

Family Medicine

NPI 1508201930

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active March 10, 2023

NPI status registered as active in NPPES database

📍

Updated Practice Location March 10, 2023

Registered at 4110 51ST AVE S, FARGO, ND 581047776 (Tel: 7013643100)

📍

Updated Business Mailing Address March 10, 2023

Registered at 1702 UNIVERSITY DR S, FARGO, ND 581034940

👤

Provider Name / Credentials Updated March 10, 2023

Recorded as SIDNEY JOHNK, APRN,CNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2023

Nurse Practitioner (License #R42226 in ND)

🟢

Initial NPI Registration & Enumeration March 10, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992406656

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 10, 2023

Last Update: March 10, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1702 University Dr S

Fargo, ND 581034940

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.