Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Ellen Nystrom

Individual provider Registered Nurse · NPI 1831819713

Ellen Nystrom is registered under 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

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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients136
Services billed 141 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Sanford Medical Center Fargo

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1212 clinicians in the practice; 12 are shown here.

Other providers in Fargo