Active NPI
Gabriell Halee Petri Hancock, APRN, AGPCNP-BC
- Adult Health Nurse Practitioner
- Bismarck, ND
National Provider Identifier
1073452322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 204103
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 204103 | ND | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarity Mind & Memory Clinic PLLC | Current | Accepting new patients |
Locations
1929 N Washington St
Ste F
Bismarck, ND 58501
Phone (701) 712-0066
Interoperability endpoints
- 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.
-
- Medical Specialty Clinic/Center
- Bismarck, ND
- NPI 1326707753
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.