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

Michelle Jill Rexine

Individual provider Registered Nurse · NPI 1598413312

Michelle Jill Rexine is a Nurse Practitioner in Fargo, North Dakota. Qualified in 2021, 5 years ago. Practices with Legacy Primary Care PLLC, an 18-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
5
Licensed in
ND
In the registry since
2022
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4420 37th Ave S # 1
Fargo, ND 58104-3400
Phone: (701) 516-4637
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 521 10th Ave N, Casselton, ND 58012-3442 — (701) 220-8273

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence R31653 (ND)
Registered Nurse Taxonomy 163W00000X · Licence R31653 (ND)

Record details

NPI number1598413312
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 10, 2022
Last updated in NPPESNovember 14, 2024
Certification dateNovember 14, 2024
Mailing addressPo Box 13238, Grand Forks, ND 58208-3238

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Legacy Primary Care Pllc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Fargo