Jamie Thongphet, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

200267 Issued in ND

Practice address

1058 College Dr
New Town, ND 58763-9112

Phone

(701) 627-4750

NPI assigned

Aug 8, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

University of North Dakota School of Medicine, 2024

Medicare assignment

May accept Medicare assignment

Group practices

Elbowoods Memorial Health Center 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Elbowoods Memorial Health Center

  • Clinic/Center
  • New Town, ND
  • NPI 1831365519

  ND

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1013748474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 COLLEGE DR",
            "city": "NEW TOWN",
            "state": "ND",
            "postal_code": "587639112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 COLLEGE DR",
            "city": "NEW TOWN",
            "state": "ND",
            "postal_code": "587639112",
            "telephone_number": "701-627-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THONGPHET",
        "first_name": "JAMIE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "200267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Tamia
• Cody Telsrow, RN
• The Evangelical Lutheran Good Samaritan Society
• Ty Thompson, L.A.C.
• Anna Thongphet, LPN
• Three Affiliated Tribes
• Three Affiliated Tribes CHR Program
• Three Affiliated Tribes Dialysis Unit
• Three Affiliated Tribes Kidney Dialysis Unit
• Three Affiliated Tribes Kidney Dialysis Unit

• All providers in New Town, ND
• Family Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.

Verify at the official NPI Registry.