Individual provider Active NPI

Tisha Scheuer, FNP-C

  • Family Nurse Practitioner
  • Bismarck, ND
National Provider Identifier
1093292815
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R28060 Issued in ND
Practice address
4914 Amberglow Dr
Bismarck, ND 58503-8851
Phone
(701) 226-9804
NPI assigned
Jul 24, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R28060 ND Primary

Addresses

Primary practice location

4914 Amberglow Dr
Bismarck, ND 58503-8851

Mailing address

4914 Amberglow Dr
Bismarck, ND 58503-8851
Phone (701) 226-9804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181210002898 ND Practitioner - Nurse Practitioner 4789928219 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R28060NDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prairie Assisted Living Services LLC CurrentSince Sep 5, 2018 Accepting new patients

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": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1093292815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4914 AMBERGLOW DR",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585038851",
            "telephone_number": "701-226-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4914 AMBERGLOW DR",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585038851",
            "telephone_number": "701-226-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEUER",
        "first_name": "TISHA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R28060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.