| Desiree Joanne Gagner-tjellesen, RNCS,APRN,BC | |
|
151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 | |
| (701) 795-3000 | |
| (701) 795-3050 |
| Full Name | Desiree Joanne Gagner-tjellesen |
|---|---|
| Gender | Female |
| Speciality | Certified Clinical Nurse Specialist (cns) |
| Experience | 26 Years |
| Location | 151 S 4th St, Grand Forks, North Dakota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518906437 | NPI | - | NPPES |
| 638R1GA | Other | MN | BCBS MN PROVIDER NUMBER |
| 020043 | Other | ND | BCBS ND PROVIDER NUMBER |
| 054519 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364S00000X | Clinical Nurse Specialist | R24745 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Altru Hospital | Grand forks, ND | Hospital |
| Unity Medical Center | Grafton, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Human Service Center | 1658341441 | 12 |
| Entity Name | Northeast Human Service Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366496341 PECOS PAC ID: 1658341441 Enrollment ID: O20040729000033 |
| Mailing Address | Practice Location Address |
|---|---|
| Desiree Joanne Gagner-tjellesen, RNCS,APRN,BC 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 Ph: (701) 795-3000 | Desiree Joanne Gagner-tjellesen, RNCS,APRN,BC 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 Ph: (701) 795-3000 |
Ms. Mary Louise Riske, RN, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 501 Columbia Rd., Stop 9037, Grand Forks, ND 58202 Phone: 701-777-4243 | |
Kris Elaine Stellon, APRN-CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1000 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000 Fax: 701-780-1942 | |
Jeanine Louise Senti, APRN, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000 | |
Nancy Joyner, APRN BC Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 702 Belmont Rd, Grand Forks, ND 58201 Phone: 701-746-4728 |