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Active NPI 1366922965 Individual Practitioner Female Practitioner

Dr. Carissa N Evans , DNP

Nurse Practitioner • Fargo, ND

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Carissa Evans, DNP is a certified Nurse Practitioner practicing in Fargo, ND. With approximately 8 years of clinical experience since completing medical education in 2018, Dr. Evans delivers high-quality medical care to the local community at 801 BROADWAY N.

Dr. Evans is affiliated with Sanford Medical Center Fargo and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of skin and tissue, 20.0 sq cm or less, removal of tissue from wound, 20.0 sq cm or less, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

801 Broadway N

Fargo, ND 581023641

Telephone 7012342000
Associated Practice Facility / Clinic
🏢 Sanford Medical Center Fargo Facility NPI 1528009412

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Fargo, ND

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -1.0 yrs vs City Avg
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
88.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Evans (8 Years) 8 Yrs
Fargo Specialty Average (9.0 Years) 9.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less
31 25 $389.90 $48.59
97597 Removal of tissue from wound, 20.0 sq cm or less
11 11 $304.55 $28.41

Medical Specialties & State Licenses

CMS Verified: 2022-06-09
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 9704

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100097135 (WI)

Hospital & Practice Group Affiliations

Sanford Medical Center Fargo

1220 Sheyenne St, West Fargo, ND 580782637

Phone: 7012344445

Sanford Medical Center Fargo

5225 23rd Ave S, Fargo, ND 581047927

Phone: 7014172575

Sanford Medical Center Fargo

801 Broadway N, Fargo, ND 581023641

Phone: 7012342000

Practice Associates & Co-Workers

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

40 Associated Practitioners
Rachel Myers , RN

Registered Nurse

NPI 1003686486

Registered Nurse

Dr. Nicola Herting , PhD, LP

Psychologist - Clinical Child & Adolescent

NPI 1013542182

Doctor of Philosophy (Ph.D.), Licensed Psychologist

Dr. Naomi Schuldt , DNP, APRN, FNP-C

Nurse Practitioner - Family

NPI 1013693837

Doctor of Nursing Practice, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. Emuejevoke Okoh , MD

Internal Medicine - Gastroenterology

NPI 1013970482

Doctor of Medicine (M.D.)

Dr. Zhanyong Bing , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1023051810

Doctor of Medicine (M.D.)

NPI 1023397221

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location June 09, 2022

Registered at 801 BROADWAY N, FARGO, ND 581023641 (Tel: 7012342000)

📍
Updated Business Mailing Address June 09, 2022

Registered at PO BOX 5074, SIOUX FALLS, SD 571175074

📍
Updated Practice Location February 18, 2020

Registered at 2900 W OKLAHOMA AVE, MILWAUKEE, WI 532154330 (Tel: 4146496577)

📍
Updated Business Mailing Address February 18, 2020

Registered at 3301 W FOREST HOME AVE, MILWAUKEE, WI 532152843 (Tel: 4143892233)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2020

Nurse Practitioner (License #9704 in WI)

📍
Updated Practice Location January 18, 2019

Registered at 1111 6TH AVE STE W308, DES MOINES, IA 503142610 (Tel: 5156434915)

📍
Updated Practice Location September 19, 2018

Registered at 1111 6TH AVE STE W306, DES MOINES, IA 503142610 (Tel: 5156434915)

NPI Profile Active August 14, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 14, 2018

Registered at 411 LAUREL ST STE 2380, DES MOINES, IA 503143026 (Tel: 5156434915)

📍
Updated Business Mailing Address August 14, 2018

Registered at PO BOX 1475, DES MOINES, IA 503051475 (Tel: 5156434915)

👤
Provider Name / Credentials Updated August 14, 2018

Recorded as CARISSA EVANS, DNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2018

Nurse Practitioner (License #A152144 in IA)

🟢
Initial NPI Registration & Enumeration August 14, 2018

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: 1366922965
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2018
Last Update: June 09, 2022
Sole Proprietor: No

Mailing Address

Po Box 5074

Sioux Falls, SD 571175074

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.