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

Individual provider Registered Nurse · NPI 1831819713

Ellen Nystrom is a Certified Registered Nurse Anesthetist (CRNA) in Fargo, North Dakota. Qualified in 2022, 4 years ago. Practices with Sanford Medical Center Fargo, a 1,212-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
4
Licensed in
ND
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

801 Broadway N
Fargo, ND 58102-3641
Phone: (701) 234-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5225 23rd Ave S, Fargo, ND 58104-7927 — (701) 234-2000

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence R40695 (ND)
Registered Nurse Taxonomy 163W00000X · Licence R40695 (ND)

Record details

NPI number1831819713
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 31, 2022
Last updated in NPPESNovember 14, 2022
Certification dateNovember 14, 2022
Mailing addressPo Box 5074, Sioux Falls, SD 57117-5074

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Sanford Medical Center Fargo — 1212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Fargo