Individual provider Active NPI

Nicole L Cross-Hillman, PSY.D.

  • Psychologist
  • Bismarck, ND
National Provider Identifier
1003149790
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
479 Issued in ND
Practice address
1800 E Interstate Ave Ste B
Bismarck, ND 58503-1566
Phone
(701) 323-6543
Fax
(701) 323-5492
NPI assigned
Sep 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 479 ND
Clinical Psychologist 103TC0700X LP 5446 MN
Psychologist 103T00000X 479 ND Primary

Addresses

Primary practice location

1800 E Interstate Ave Ste B
Bismarck, ND 58503-1566

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Other practice location 1

414 N 7th St
Bismarck, ND 58501-4423
Phone (701) 323-6543

Other names 1

  • Nicole L Cross Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ncrosshillman13660827@direct.sanfordhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130607000331 ND Practitioner - Clinical Psychologist 9133367865 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford BismarckGroup PAC ID 9739098575, 562 clinicians

Practice addresses (Care Compare)

414 N 7TH St
Bismarck, ND 58501-4423
Phone (701) 323-6815

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LP 5446MNMDClinical Psychologist
479NDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Bismarck CurrentSince Sep 9, 2019 Accepting new patients
Southeast Behavioral Health Clinic CurrentSince Mar 2, 2013 Accepting new patients
Sanford Bismarck CurrentSince Sep 9, 2019 Accepting new patients

Locations

3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300

1800 E Interstate Ave
Ste B
Bismarck, ND 58503
Phone (701) 323-2941

414 N 7th St
Bismarck, ND 58501
Phone (701) 323-5870

600 E Boulevard Ave
Dept 325
Bismarck, ND 58505
Phone (701) 328-4644

2624 9th Ave SW
Fargo, ND 58103
Phone (701) 298-4500

Interoperability endpoints

  • Direct secure messaging: ncrosshillman13660827@direct.sanfordhealth.org
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/69838

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1003149790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E INTERSTATE AVE STE B",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585031566",
            "telephone_number": "701-323-6543",
            "fax_number": "701-323-5492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "414 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585014423",
            "country_code": "US",
            "telephone_number": "701-323-6543",
            "fax_number": "701-323-6960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROSS-HILLMAN",
        "first_name": "NICOLE",
        "middle_name": "L",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-11",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ND",
            "license": "479",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP 5446",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ND",
            "license": "479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ncrosshillman13660827@direct.sanfordhealth.org",
            "affiliation": "N",
            "address_1": "1800 E Interstate Ave Ste B",
            "city": "Bismarck",
            "state": "ND",
            "country_code": "US",
            "postal_code": "585031566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "CROSS",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.