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

MS. Maija L Duppong

Individual provider Family Nurse Practitioner · NPI 1053555797

MS. Maija L Duppong is a Nurse Practitioner in Fosston, Minnesota. Qualified in 2009, 17 years ago. Practices with Headwaters Health PC, a 10-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
17
Licensed in
MN
In the registry since
2009

Practice location Address checks out

111 2nd St NE
Fosston, MN 56542-1301
Phone: (218) 435-1111
Fax: (218) 435-1112
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R 188975-4 (MN)

Record details

NPI number1053555797
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 24, 2009
Last updated in NPPESApril 24, 2026
Certification dateApril 24, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Headwaters Health Pc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Fosston