Mailing Addresses

Providers can use the addresses provided below to submit the following types of correspondence:

  • Enrollment (CMS applications and PECOS Web Certification Statements and supporting documentation)
  • Medicare Secondary Payer (MSP)
  • Paper Claims
  • Redeterminations (All types including overpayments, CERT, RA, SMRC, and UPIC)
  • Refunds
  • Responses to Noridian requests for additional documentation
  • RSNAT Prior Authorization Request
  • Written Inquiries

Correspondence may be mailed to Noridian via United States Postal Service (USPS) or Certified/Courier Mailings

Correspondence may be mailed on paper or electronically via CD, DVD, or USB. See the Options for Submitting Documentation page for more information.

 
State USPS Certified/Courier Mailings
California - Northern
(All Other Counties)
Noridian JE Part B
Attn: _______ (if applicable)
PO Box 6774
Fargo, ND 58108-6774
Noridian JE Part B
Attn: _______ (if applicable)
4510 13th Ave S
Fargo, ND 58103
California - Southern
(Counties: Ventura, Los Angeles, Orange, Imperial, San Diego, Santa Barbara and San Luis Obispo)
Noridian JE Part B
Attn: _______ (if applicable)
PO Box 6775
Fargo, ND 58108-6775
Noridian JE Part B
Attn: _______ (if applicable)
4510 13th Ave S
Fargo, ND 58103
Hawaii, American Samoa, Guam, Northern Mariana Islands Noridian JE Part B
Attn: _______ (if applicable)
PO Box 6777
Fargo, ND 58108-6777
Noridian JE Part B
Attn: _______ (if applicable)
4510 13th Ave S
Fargo, ND 58103
Nevada Noridian JE Part B
Attn: _______ (if applicable)
PO Box 6776
Fargo, ND 58108-6776
Noridian JE Part B
Attn: _______ (if applicable)
4510 13th Ave S
Fargo, ND 58103

 

State Specific Exceptions

Certain types of correspondence requires different levels of separation to assist our office in getting provider's documentation and requests to the appropriate team.

Correspondence USPS Certified/Courier Mailings
Administrative Law Judge (ALJ) Notification Noridian JE Part B
Attn: ALJ
PO Box 6781
Fargo ND 58108-6781
Noridian JE Part B
Attn: ALJ
4510 13th Ave S
Fargo ND 58103
Congressional Noridian JE Part B
Attn: Congressional
PO Box 6783
Fargo ND 58108-6783
Noridian JE Part B
Attn: Congressional
4510 13th Ave S
Fargo ND 58103
Contractor Medical Directors (CMDs) Noridian JE Part B
Attn: CMDs
PO Box 6781
Fargo ND 58108-6781
Noridian JE Part B
Attn: CMDs
4510 13th Ave S
Fargo ND 58103
Draft Local Coverage Determination (LCD) Comment Submission Noridian JE Part B
Attn: Draft LCD Comments
PO Box 6781
Fargo ND 58108-6781
Noridian JE Part B
Attn: Draft LCD Comments
4510 13th Ave S
Fargo ND 58103
Electronic Data Interchange (EDI) Noridian JE Part B
Attn: EDI
PO Box 6729
Fargo ND 58108-6729
Noridian JE Part B
Attn: EDI
4510 13th Ave S
Fargo ND 58103
Extended Repayment Schedule Noridian Medicare JE Part B Refund
ATTN: Extended Repayment Schedule
PO Box 511381
Los Angeles, CA 90051-7914
Noridian Medicare JE Part B Refund
ATTN: Extended Repayment Schedule
4510 13th Ave S
Fargo ND 58103
Fraud and Abuse / Benefit Protection Noridian JE Part B
Attn: Fraud and Abuse/Benefit Protection
PO Box 6710
Fargo ND 58108-6710
Noridian JE Part B
Attn: Fraud and Abuse/Benefit Protection
4510 13th Ave S
Fargo ND 58103
Freedom of Information Act (FOIA) Noridian JE Part B
Attn: FOIA
PO Box 6783
Fargo ND 58108-6783
Noridian JE Part B
Attn: FOIA
4510 13th Ave S
Fargo ND 58103
LCD: New LCD Request Noridian JE Part B
Attn: New LCD Request
PO Box 6781
Fargo ND 58108-6781
Noridian JE Part B
Attn: New LCD Request
4510 13th Ave S
Fargo ND 58103
LCD Reconsideration Noridian JE Part B
Attn: LCD Reconsideration
PO Box 6781
Fargo ND 58108-6781
Noridian JE Part B
Attn: LCD Reconsideration
4510 13th Ave S
Fargo ND 58103
Medical Review (Including Requested Post Pay Claims) Noridian JE Part B
Attn: Medical Review
PO Box 6783
Fargo ND 58108-6783
Noridian JE Part B
Attn: Medical Review
4510 13th Ave S
Fargo ND 58103
PWK (paperwork) Noridian JE Part B
Attn: PWK
PO Box 6783
Fargo ND 58108-6783
Noridian JE Part B
Attn: PWK
4510 13th Ave S
Fargo ND 58103
Refunds Noridian JE Part B
Attn: Refunds
PO Box 511381
Los Angeles CA 90051-7936
Noridian JE Part B
Attn: Refunds
PO Box 511381
Los Angeles CA 90051-7936

 

Last Updated Dec 09 , 2023