Individual provider Active NPI

Arthur J Renner, PA-C

  • Physician Assistant
  • Garrison, ND
National Provider Identifier
1013375500
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PAC0625 Issued in ND
Practice address
437 3Rd Ave SE
Garrison, ND 58540
Phone
(701) 463-2245
Fax
(701) 463-6543
NPI assigned
Jan 29, 2016
Last updated
Apr 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PAC0625 ND Primary

Addresses

Primary practice location

437 3Rd Ave SE
Garrison, ND 58540

Mailing address

437 3Rd Ave SE
Garrison, ND 58540
Phone (701) 463-2245

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160226002192 ND Practitioner - Physician Assistant 2264590033 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garrison Memorial HospitalGroup PAC ID 0143206946, 7 clinicians

Practice addresses (Care Compare)

407 3Rd Ave SE
Garrison, ND 58540-7235

437 3 Ave SE
Garrison, ND 58540-7235
Phone (701) 463-2275

900 E Broadway Ave
Bismarck, ND 58501-4520

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Alexius Medical Center CurrentSince Sep 1, 2024 Accepting new patients
St. Alexius Medical Center CurrentSince Sep 1, 2024 Accepting new patients
Mercy Hospital CurrentSince Apr 1, 2017 Accepting new patients
West River Health Services CurrentSince Oct 12, 2018 Accepting new patients
Garrison Memorial Hospital CurrentSince Dec 14, 2019 Accepting new patients
Mercy Hospital of Valley City CurrentSince Apr 1, 2017 Accepting new patients
Garrison Memorial Hospital Past Accepting new patients

Locations

3265 Solutions Ctr
Chicago, IL 60677

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

437 3rd Ave SE
Garrison, ND 58540
Phone (701) 463-2245

1000 Highway 12
Hettinger, ND 58639
Phone (701) 567-4561

570 Chautauqua Blvd
Valley City, ND 58072
Phone (701) 845-0440

Organizations & group practices 9

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1013375500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 3RD AVE SE",
            "city": "GARRISON",
            "state": "ND",
            "postal_code": "58540",
            "telephone_number": "701-463-2245",
            "fax_number": "701-463-6543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 3RD AVE SE",
            "city": "GARRISON",
            "state": "ND",
            "postal_code": "58540",
            "telephone_number": "701-463-2245",
            "fax_number": "701-463-6543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNER",
        "first_name": "ARTHUR",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-29",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ND",
            "license": "PAC0625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garrison, ND

Sources for this page

Verify at the official NPI Registry.