Individual provider Active NPI

Jacqueline Marie Bell, CCC,SLP

  • Speech-Language Pathologist
  • Wyndmere, ND
National Provider Identifier
1023654787
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1807 Issued in ND
Practice address
8027 154TH Ave SE
Wyndmere, ND 58081
Phone
(701) 680-0665
NPI assigned
Nov 18, 2019
Last updated
Oct 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 000428348 ND
Speech-Language Pathologist 235Z00000X 1807 ND Primary

Addresses

Primary practice location

8027 154TH Ave SE
Wyndmere, ND 58081

Mailing address

8027 154TH Ave SE
Wyndmere, ND 58081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200721004245 ND Practitioner - Qualified Speech Language Pathologist 6507280740 Reassigns benefits to 1 organization
I20200829000168 MN Practitioner - Qualified Speech Language Pathologist 6507280740 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic and Sports Physical Therapy, IncGroup PAC ID 7416901921, shared by 2 NPIs, 6 clinicians

Practice addresses (Care Compare)

112 5TH St SW
Hankinson, ND 58041-4417
Phone (701) 242-7323

430 5TH St N
Breckenridge, MN 56520-1426
Phone (218) 641-7725

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10286MNMDPhysical Therapist
000428348NDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic & Sports Physical Therapy Inc. CurrentSince Oct 23, 2024 Accepting new patients
Graceville Health Center CurrentSince Aug 3, 2020 Accepting new patients
Orthopedic & Sports Physical Therapy, Inc CurrentSince Sep 27, 2024 Accepting new patients
Graceville Health Center CurrentSince Aug 3, 2020 Accepting new patients
Orthopedic & Sports Physical Therapy, Inc. CurrentSince Sep 27, 2024 Accepting new patients

Locations

430 5th St N
Breckenridge, MN 56520
Phone (218) 641-7725

73 Minnesota Ave
Breckenridge, MN 56520
Phone (218) 641-7725

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1023654787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8027 154TH AVE SE",
            "city": "WYNDMERE",
            "state": "ND",
            "postal_code": "58081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8027 154TH AVE SE",
            "city": "WYNDMERE",
            "state": "ND",
            "postal_code": "58081",
            "telephone_number": "701-680-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "credential": "CCC,SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-18",
        "last_updated": "2024-10-08",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "000428348",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "1807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyndmere, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.