Amanda Nack, - Medicare Dietitian in Fargo, ND

Amanda Nack, is a medicare enrolled "Dietitian, Registered" provider in Fargo, North Dakota. Her current practice location is 736 Broadway N, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 234-2000.

Amanda Nack is licensed to practice in North Dakota (license number 970) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1770058232.

Contact Information

Amanda Nack,
736 Broadway N,
Fargo, ND 58102
(701) 234-2000
(701) 234-2345

Map and Direction




Healthcare Provider's Profile

Full NameAmanda Nack
GenderFemale
SpecialityDietitian, Registered
Location736 Broadway N, Fargo, North Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770058232
  • Provider Enumeration Date: 10/10/2018
  • Last Update Date: 07/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6002151636
  • Enrollment ID: I20181231001178

Medical Identifiers

Medical identifiers for Amanda Nack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770058232NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 970 (North Dakota)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amanda Nack allows following entities to bill medicare on her behalf.
Provider NameInternal Medicine Associates Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1144313743
PECOS PAC ID: 8527027879
Enrollment ID: O20041004000768
Provider NameSanford Medical Center Fargo
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1184917924
PECOS PAC ID: 8426967803
Enrollment ID: O20110331000495

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Nack is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Amanda Nack,
Po Box 5074,
Sioux Falls, SD 57117-5074

Ph: () -
Amanda Nack,
736 Broadway N,
Fargo, ND 58102

Ph: (701) 234-2000

Reviews and Comments


Dietitian, Registered in Fargo, ND

Brad Kittelson, LRD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1720 University Dr S, Fargo, ND 58103
Phone: 701-280-4474    
Alexis Ann Allen, RDN
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1749 38th St S, Fargo, ND 58103
Phone: 701-417-6536    
Keiley Shae Johnson, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 2970 Brandt Dr S Apt 214, Fargo, ND 58104
Phone: 701-212-6207    
Madeline Henke, RDN, LRD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 2101 Elm St N, Fargo, ND 58102
Phone: 701-301-1016    
Amy E Hieb, LRD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 3000 32nd Ave S, Fargo, ND 58103
Phone: 701-364-8000    Fax: 701-364-8078
Sarah M Tee, MPH RD LRD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1630 1st Ave N Ste B, Fargo, ND 58102
Phone: 630-439-4775    
Alycia Evenocheck, LRD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 3000 32nd Ave S, Fargo, ND 58103
Phone: 701-364-8000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.