Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Traci L Leitheiser, MPAS, PA-C

Individual provider Physician Assistant · NPI 1629645031

Traci L Leitheiser, MPAS, PA-C is a Physician Assistant in Fargo, North Dakota. Graduated from University of North Dakota School of Medicine in 2021, 5 years ago. Practices with Sanford Medical Center Fargo, a 1,212-clinician group and accepts Medicare assignment.

Years since qualifying
5
Trained at
University of North Dakota School of Medicine
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5225 23rd Ave S
Fargo, ND 58104-7927
Phone: (701) 417-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1629645031
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPAS , PA-C
Sole proprietorNo
NPI enumeratedJune 6, 2021
Last updated in NPPESOctober 13, 2021
Certification dateOctober 13, 2021
Mailing addressPo Box 5074, Sioux Falls, SD 57117-5074

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Sanford Medical Center Fargo — 1212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Fargo