Individual provider Active NPI

Gabriell Halee Petri Hancock, APRN, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Bismarck, ND
National Provider Identifier
1073452322
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
204103 Issued in ND
Practice address
1929 N Washington St Ste F
Bismarck, ND 58501-7604
Phone
(701) 712-0066
Fax
(701) 712-0077
NPI assigned
Mar 25, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 204103 ND
Adult Health Nurse Practitioner 363LA2200X 204103 ND Primary

Addresses

Primary practice location

1929 N Washington St Ste F
Bismarck, ND 58501-7604

Mailing address

1929 N Washington St Ste F
Bismarck, ND 58501-7604
Phone (701) 712-0066

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
I20260504005901 ND Practitioner - Nurse Practitioner 9032687553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clarity Mind and Memory Clinic PLLCGroup PAC ID 5799170882, 5 clinicians

Practice addresses (Care Compare)

1929 N Washington St
Suite F
Bismarck, ND 58501-7604
Phone (701) 712-0066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
204103NDMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity Mind & Memory Clinic PLLC CurrentSince Mar 24, 2026 Accepting new patients

Locations

1929 N Washington St
Ste F
Bismarck, ND 58501
Phone (701) 712-0066

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26680/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1774396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1073452322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1929 N WASHINGTON ST STE F",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585017604",
            "telephone_number": "701-712-0066",
            "fax_number": "701-712-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 N WASHINGTON ST STE F",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585017604",
            "telephone_number": "701-712-0066",
            "fax_number": "701-712-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRI HANCOCK",
        "first_name": "GABRIELL",
        "middle_name": "HALEE",
        "credential": "APRN, AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "ND",
            "license": "204103",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "ND",
            "license": "204103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.