Tracie M Mallberg MD PC
NPI 1023282969 · Primary Care Clinic/Center · West Fargo, ND
Tracie M Mallberg MD PC is a Primary Care Clinic/Center organization in West Fargo, ND (NPI 1023282969).
Provider details
- NPI number
- 1023282969
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tracie Mallberg, President(701) 356-5459
- License
- 9395 (ND)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Lilycare Clinic
Registry dates
- Enumerated
- 2008-04-22
- Last updated
- 2008-08-01
Frequently asked questions
- What is Tracie M Mallberg MD PC's NPI number?
- Tracie M Mallberg MD PC's National Provider Identifier (NPI) is 1023282969, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tracie M Mallberg MD PC?
- Tracie M Mallberg MD PC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Tracie M Mallberg MD PC located?
- Tracie M Mallberg MD PC's practice location on file with NPPES is 550 13th Ave E, West Fargo, ND 58078-3360.
- What is Tracie M Mallberg MD PC's phone number?
- The practice phone number listed in the NPPES registry for Tracie M Mallberg MD PC is (701) 356-5459.
- Who is the authorized official for Tracie M Mallberg MD PC?
- The authorized official listed on Tracie M Mallberg MD PC's NPPES record is Tracie Mallberg, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tracie M Mallberg MD PC's NPI active?
- Yes — Tracie M Mallberg MD PC's NPI (1023282969) is active in the NPPES registry as of the last update on 2008-08-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.