Organization Active NPI

Wellsprings Natural Healthcare

  • Family Nurse Practitioner
  • Belcourt, ND
National Provider Identifier
1033927496
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
WELLSPRINGS NATURAL HEALTHCARE
Practice address
9629 Bia Road 21
Belcourt, ND 58316-3841
Phone
(701) 561-8201
NPI assigned
Dec 18, 2024
Last updated
Dec 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Authorized official

Name
Dr. Cheryll Simmons, -BC, MSN, MPHNPI 1699099812
Title
Ceo, Owner
Phone
(701) 550-9287

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

9629 Bia Road 21
Belcourt, ND 58316-3841

Mailing address

170 Island Ave
Sheldon, ND 58068-4004
Phone (701) 550-9287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250402001740 ND Part B Supplier - Clinic/Group Practice 3173046943 Receives reassigned benefits from 1 practitioner
Practice locations: Belcourt, ND

National Provider Directory

National Provider Directory

Locations

9629 Bia Road 21
Belcourt, ND 58316
Phone (701) 561-8201

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1033927496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 ISLAND AVE",
            "city": "SHELDON",
            "state": "ND",
            "postal_code": "580684004",
            "telephone_number": "701-550-9287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9629 BIA ROAD 21",
            "city": "BELCOURT",
            "state": "ND",
            "postal_code": "583163841",
            "telephone_number": "701-561-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRINGS NATURAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "CHERYLL",
        "authorized_official_title_or_position": "CEO, OWNER",
        "authorized_official_telephone_number": "701-550-9287",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "-BC, MSN, MPH"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belcourt, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.