Active NPI
Trisha J Fennern, NP-C
- Family Nurse Practitioner
- Minot, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R30827
- Practice address
- 1021 20TH Ave SW Ste 113
Minot, ND 58701-6487 - Phone
- (701) 837-1551
- Fax
- (701) 837-1540
- NPI assigned
- Jul 14, 2010
- Last updated
- Mar 21, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R30827 | ND | Primary |
Addresses
Primary practice location
1021 20TH Ave SW Ste 113
Minot, ND 58701-6487
Mailing address
1021 20TH Ave SW Ste 113
Minot, ND 58701-6487
Phone (701) 837-1551
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84427 | Medicaid | ND |
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: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1021 20TH Ave SW
Suite 113
Minot, ND 58701-6487
Phone (701) 837-1851
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minot Health Clinic, PLLC | Current | Accepting new patients |
Locations
1021 20th Ave SW
Ste 113
Minot, ND 58701
Phone (701) 837-1551
1418 S Broadway
Ste B
Minot, ND 58701
Phone (701) 837-1551
Interoperability endpoints
- https://api.platform.athenahealth.com/22649/brand/1/csg/1/fhir/r4
- trisha.fennern@mhc-nd.direct.office.nextgen.com
- trisha.fennern.1@22649.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Minot Health Clinic
- Primary Care Clinic/Center
- Minot, ND
- NPI 1477970846
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba SMP Health - St. Andrew's
- Critical Access Hospital
- Bottineau, ND
- NPI 1801893706
-
dba Trinity Health First Response Air Ambulance
- Air Ambulance
- Minot, ND
- NPI 1053502773
Hospital
-
dba Community Ambulance Service, Inc.
- Land Ambulance
- Minot, ND
- NPI 1134310857
Hospital
-
- General Acute Care Hospital
- Minot, ND
- NPI 1427103910
-
dba Trinity Hospitals Residential Treatment Center
- Substance Abuse Rehabilitation Facility
- Minot, ND
- NPI 1457539660
Hospital
-
dba Trinity St Joseph's CDU
- Substance Use Disorder Rehabilitation Hospital Unit
- Minot, ND
- NPI 1487804092
-
- General Acute Care Hospital
- Minot, ND
- NPI 1932359544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679356800000",
"number": "1013220490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 20TH AVE SW STE 113",
"city": "MINOT",
"state": "ND",
"postal_code": "587016487",
"telephone_number": "701-837-1551",
"fax_number": "701-837-1540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 20TH AVE SW STE 113",
"city": "MINOT",
"state": "ND",
"postal_code": "587016487",
"telephone_number": "701-837-1551",
"fax_number": "701-837-1540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENNERN",
"first_name": "TRISHA",
"middle_name": "J",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-14",
"last_updated": "2023-03-21",
"certification_date": "2023-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ND",
"license": "R30827",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "84427",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minot, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.