| University Of North Dakota | |
|
701 E. Rosser Ave. Bismarck ND 58501-4461 | |
| (701) 328-9950 | |
| (701) 328-9957 |
| Full Name | University Of North Dakota |
|---|---|
| Speciality | Family Medicine |
| Location | 701 E. Rosser Ave., Bismarck, North Dakota |
| Authorized Official Name and Position | Jodi Myrvik (BUSINESS MANAGER) |
| Authorized Official Contact | 7017516753 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of North Dakota 701 E. Rosser Ave. Bismarck ND 58501-4461 Ph: (701) 751-9500 | University Of North Dakota 701 E. Rosser Ave. Bismarck ND 58501-4461 Ph: (701) 328-9950 |
| NPI Number | 1619905528 |
|---|---|
| Provider Enumeration Date | 06/29/2006 |
| Last Update Date | 03/30/2023 |
| Medicare PECOS PAC ID | 2961395934 |
|---|---|
| Medicare Enrollment ID | O20040204000241 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619905528 | NPI | - | NPPES |
| 1459002 | Medicaid | ND | |
| 12083 | Medicaid | ND | |
| 102001 | Other | ND | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QF0050X | Clinic/center - Family Planning, Non-surgical | (* (Not Available)) | Secondary |
| Provider Name | Charlotte H Huber-manstrom |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689763922 PECOS PAC ID: 5193622736 Enrollment ID: I20031212000762 |
| Provider Name | Jacqueline E Quisno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326016163 PECOS PAC ID: 5991602443 Enrollment ID: I20031215000286 |
| Provider Name | Kamille S Sherman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770682726 PECOS PAC ID: 6901703347 Enrollment ID: I20031215000710 |
| Provider Name | Jeffrey E Hostetter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275561102 PECOS PAC ID: 6406766583 Enrollment ID: I20031215000790 |
| Provider Name | Jacinta-jon T Klindworth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205814787 PECOS PAC ID: 1355248618 Enrollment ID: I20031215000843 |
| Provider Name | Paul D Olson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730250879 PECOS PAC ID: 8921902438 Enrollment ID: I20040405000116 |
| Provider Name | Cindy L Juntunen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215000617 PECOS PAC ID: 9739175779 Enrollment ID: I20040423000681 |
| Provider Name | Laura B Schield |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124064431 PECOS PAC ID: 7618966326 Enrollment ID: I20040508000065 |
| Provider Name | Patrick J Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285688226 PECOS PAC ID: 5496754715 Enrollment ID: I20070717000425 |
| Provider Name | Swami P Gade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326191594 PECOS PAC ID: 5890896492 Enrollment ID: I20070726000576 |
| Provider Name | Terrilyn Braasch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205986742 PECOS PAC ID: 2567419500 Enrollment ID: I20070914000056 |
| Provider Name | Kristin L Melby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114974987 PECOS PAC ID: 5597831321 Enrollment ID: I20080902000541 |
| Provider Name | Ellen K Feldman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831280841 PECOS PAC ID: 9830243906 Enrollment ID: I20090825000182 |
| Provider Name | Rhonda R Schafer Mclean |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396891065 PECOS PAC ID: 8022163187 Enrollment ID: I20090826000376 |
| Provider Name | Joseph A Luger |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1174577332 PECOS PAC ID: 5799764312 Enrollment ID: I20100622000660 |
| Provider Name | Joan M Connell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306888623 PECOS PAC ID: 3476737206 Enrollment ID: I20110401000814 |
| Provider Name | Michelle R Spicer |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1699063875 PECOS PAC ID: 3577732429 Enrollment ID: I20110809000907 |
| Provider Name | Jessica A Carlson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265685432 PECOS PAC ID: 7517133937 Enrollment ID: I20120105000461 |
| Provider Name | John P Legerski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427289842 PECOS PAC ID: 8527207067 Enrollment ID: I20130613000601 |
| Provider Name | Mark J Christenson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093774499 PECOS PAC ID: 7315024940 Enrollment ID: I20140602001905 |
| Provider Name | Birpal Pannu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912285867 PECOS PAC ID: 0941432959 Enrollment ID: I20140819000235 |
| Provider Name | Chittaranjan Routray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548548498 PECOS PAC ID: 0547493645 Enrollment ID: I20140828000026 |
| Provider Name | Jody L Paulson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1083760706 PECOS PAC ID: 7012237019 Enrollment ID: I20150611002284 |
| Provider Name | Nicole J Kiel |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1275736761 PECOS PAC ID: 5395059521 Enrollment ID: I20150801017374 |
| Provider Name | Christopher P Irmen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093078479 PECOS PAC ID: 8325272123 Enrollment ID: I20150819009429 |
| Provider Name | Gilbert R Falcon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427288018 PECOS PAC ID: 3577711829 Enrollment ID: I20160222001953 |
| Provider Name | Sarah A Robinson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1871686386 PECOS PAC ID: 1759674419 Enrollment ID: I20160719001063 |
| Provider Name | Jessica A Sporbert |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1013054063 PECOS PAC ID: 0648564021 Enrollment ID: I20160808001614 |
| Provider Name | Shannon J Sauter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265872030 PECOS PAC ID: 0648592782 Enrollment ID: I20160907001926 |
| Provider Name | Vishal Chhibber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700227469 PECOS PAC ID: 4284866351 Enrollment ID: I20160919001519 |
| Provider Name | David F Schmitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477595551 PECOS PAC ID: 0547293763 Enrollment ID: I20170105001592 |
| Provider Name | Melissa Quincer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801231048 PECOS PAC ID: 4082987698 Enrollment ID: I20170901002142 |
| Provider Name | Peter Sandroni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154737419 PECOS PAC ID: 7911123773 Enrollment ID: I20170914004329 |
| Provider Name | Joseph C Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447548904 PECOS PAC ID: 8820353733 Enrollment ID: I20180806000745 |
| Provider Name | Amy Jo Robinson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1487177275 PECOS PAC ID: 1153657218 Enrollment ID: I20190726000927 |
| Provider Name | Carla Steen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1346396314 PECOS PAC ID: 8426385998 Enrollment ID: I20190806002420 |
| Provider Name | Sarah Anne Wocken |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1841732443 PECOS PAC ID: 7113254921 Enrollment ID: I20190815002848 |
| Provider Name | Jessica Larae Foley |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1558788166 PECOS PAC ID: 6901133578 Enrollment ID: I20190820001930 |
| Provider Name | Renu Malhi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750733911 PECOS PAC ID: 3779879507 Enrollment ID: I20191015001835 |
| Provider Name | Indra Arya |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275916462 PECOS PAC ID: 9335456003 Enrollment ID: I20191101001325 |
| Provider Name | Michelle Ann Novak |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1841869344 PECOS PAC ID: 3577967371 Enrollment ID: I20211011000476 |
| Provider Name | Nicole M. Gullickson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174783211 PECOS PAC ID: 9830238245 Enrollment ID: I20220825001331 |
| Provider Name | Melissa Nicole Naslund |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841847787 PECOS PAC ID: 0648678573 Enrollment ID: I20240214001284 |
| Provider Name | Jenise D Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063934230 PECOS PAC ID: 3779923255 Enrollment ID: I20240501001204 |
Lung Disease And Infection Consultants Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 S 12th St, Bismarck, ND 58504 Phone: 701-223-4234 Fax: 701-222-0712 | |
Prairie Assisted Living Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4914 Amberglow Dr, Bismarck, ND 58503 Phone: 701-226-9804 Fax: 701-751-1307 | |
Inspired Life Wellness Clinic, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3100 Moonstone Ln, Bismarck, ND 58503 Phone: 701-989-4354 Fax: 701-213-4335 | |
Essentia Health Mid Dakota Bismarck 9th St Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 N 9th St, Bismarck, ND 58501 Phone: 701-712-4500 | |
Wellness Rediscovered P.l.l.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 705 E Main Ave, Bismarck, ND 58501 Phone: 701-269-9455 | |
Tru Health & Wellness Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 705 E Main Ave, Bismarck, ND 58501 Phone: 701-226-4432 | |
Lifeways Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1001 Gateway Avenue, Bismarck, ND 58503 Phone: 701-751-3271 |