Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104751320 Individual Practitioner Female Practitioner

Bethany Johnson , FNP-BC

Nurse Practitioner • Fargo, ND

Professional Overview & Biography Verified Profile Summary

Bethany Johnson, FNP-BC is a registered healthcare professional specializing in Nurse Practitioner in Fargo, ND. Practice services are available at 801 BROADWAY N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

801 Broadway N

Fargo, ND 581023641

Telephone 7012342251
Associated Practice Facility / Clinic
🏢 Sanford Medical Center Fargo Facility NPI 1528009412

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Fargo, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
210 Specialists

Practicing in Fargo, ND (468 Statewide)

Telehealth Adoption Rate
20.5% 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: 2026-07-07
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License ND 205339

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License ND 205339

Definition to come...

Secondary Practice Locations

801 Broadway N

Fargo, ND 581023641

Phone: 7012342000

5225 23rd Ave S

Fargo, ND 581047927

Phone: 7014172000

Practice Associates & Co-Workers

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

12 Associated Practitioners
Dr. Steven Briggs , MD

Surgery - Surgical Critical Care

NPI 1063423895

Doctor of Medicine (M.D.)

Shane Meyer , PA-C

Physician Assistant - Surgical

NPI 1154675577

Physician Assistant (Certified)

Stacy Krueger , NP

Nurse Practitioner

NPI 1285980565

Nurse Practitioner

NPI 1356336358

Doctor of Medicine (M.D.)

Dr. Enej Gasevic , MD

Surgery - Surgical Critical Care

NPI 1376753459

Doctor of Medicine (M.D.)

Bonnie Groth , NP

Nurse Practitioner

NPI 1407151921

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 07, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location July 07, 2026

Registered at 801 BROADWAY N, FARGO, ND 581023641 (Tel: 7012342251)

📍
Updated Business Mailing Address July 07, 2026

Registered at 5225 23RD AVE S, FARGO, ND 581047927 (Tel: 7014172000)

👤
Provider Name / Credentials Updated July 07, 2026

Recorded as BETHANY JOHNSON, FNP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2026

Nurse Practitioner (License #205339 in ND)

🟢
Initial NPI Registration & Enumeration June 17, 2026

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: 1104751320
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2026
Last Update: July 07, 2026
Sole Proprietor: No

Mailing Address

5225 23rd Ave S

Fargo, ND 581047927

Phone: 7014172000

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.