Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brandi Wallace, FNP

Individual provider Registered Nurse · NPI 1982739900

Brandi Wallace, FNP is a Nurse Practitioner in Fargo, North Dakota. Qualified in 2018, 8 years ago. Practices with Innovis Health LLC, a 573-clinician group, works from 7 locations and accepts Medicare assignment. Licensed in Minnesota, North Dakota and Wisconsin.

Years since qualifying
8
Licensed in
MN, ND, WI
In the registry since
2007
Specialties on file
3
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

4622 40th Ave S Ste A
Fargo, ND 58104-4394
Phone: (701) 364-2909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (6)

  • 2800 Cleveland Ave N, Roseville, MN 55113-1126 — (651) 642-1825
  • 4141 31st Ave S Ste 102, Fargo, ND 58104 — (701) 356-0097
  • 4794 50th Ave S, Fargo, ND 58104-6027 — (701) 361-2286
  • 4500 36th Ave S Ste 100, Fargo, ND 58104-5275 — (701) 361-2286
  • 4500 36th Ave S Ste 100, Fargo, ND 58104-5275 — (701) 361-2286
  • 4141 31st Ave S Ste 102, Fargo, ND 58104 — (701) 356-0097

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R30131 (ND)
Registered Nurse Taxonomy 163W00000X · Licence R144003-8 (MN)
Registered Nurse Taxonomy 163W00000X · Licence 149297-030 (WI)

Record details

NPI number1982739900
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedFebruary 22, 2007
Last updated in NPPESOctober 25, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Innovis Health Llc — 573 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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