Mallory Hestdalen
NPI 1851752885ActiveIndividual· Nurse Practitioner, Neonatal· Fargo, ND
Nurse Practitioner, Neonatal in Fargo, North Dakota, licensed in ND, with an NPI issued in March 2016. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1851752885 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 18, 2016 |
| Last updated in NPPES | Sep 29, 2020 |
| Certified by provider | Sep 29, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Neonatal Primary | 363LN0000X | R33463 | ND |
| Registered Nurse | 163W00000X | R33463 | ND |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (ND) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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