Bailee Lass Dungan, AUD
Individual provider Active NPI Audiologist · Bismarck, ND
NPI 1104596519 · NPPES record last updated Mar 28, 2022
Key facts
- NPI
- 1104596519
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 1989 (ND)
- Practice address
- 701 E Rosser Ave
Bismarck, ND 58501-4457 - Phone
- (701) 323-8921
- NPI assigned
- Sep 16, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Qualified Audiologist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sanford Bismarck
Practice addresses (Care Compare)
2615 Fairway St
Dickinson, ND 58601-2590
Phone (701) 456-6000
3318 N 14TH St
Bismarck, ND 58503-1614
Phone (701) 323-8300
701 E Rosser Ave
Bismarck, ND 58501-4457
Phone (701) 323-6815
Hospital & facility affiliations
- Sanford Medical Center Bismarck
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.63 of 100
- Quality
- 89.39
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.04
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211123000018 | ND | Practitioner - Qualified Audiologist | 1951790492 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1989 | ND | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Bismarck | Current |
Accepting new patients | |
| Sanford Healthcare Accessories, LLC | Past |
Accepting new patients |
Locations
701 E Rosser Ave
Bismarck, ND 58501
Phone (701) 751-6755
3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300
1531 W Villard St
Ste B
Dickinson, ND 58601
Phone (701) 225-7188
Interoperability endpoints
- bailee.lassdungan@sanfordhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1989 | ND | Yes |
Addresses
Primary practice location
701 E Rosser Ave
Bismarck, ND 58501-4457
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other practice location 1
1531 W Villard St Ste B
Dickinson, ND 58601-4657
Phone (701) 225-7188
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1989 | Other | ND | NORTH DAKOTA BOARD OF EXAMINERS |
Other names
- Bailee Lass
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Bailee.lassdungan@sanfordhealth.org | Health Information Exchange (HIE) | |
| Direct Messaging Address | blassdungan17248496@direct.sanfordhealth.org |
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.