Ann Coates
Individual provider Active NPI Physician Assistant · Dickinson, ND
NPI 1104596873 · NPPES record last updated May 26, 2022
Key facts
- NPI
- 1104596873
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PAC0904 (ND)
- Practice address
- 1531 W Villard St
Dickinson, ND 58601-4657 - Phone
- (701) 225-7575
- NPI assigned
- Sep 15, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 5074
Sioux Falls, SD 57117
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
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Bismarck | Current |
Accepting new patients | |
| Sanford Bismarck | Current |
Accepting new patients | |
| Sanford Bismarck | Past |
Accepting new patients |
Locations
3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300
1531 W Villard St
Dickinson, ND 58601
Phone (701) 225-7575
2615 Fairway St
Dickinson, ND 58601
Phone (701) 456-6000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PAC0904 | ND | Yes |
Addresses
Primary practice location
1531 W Villard St
Dickinson, ND 58601-4657
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other names
- Ann Koppinger
Other providers in Dickinson, ND
- Teri Marie Clark
- Travis Elias Clatterbuck
- Clear Mind Solution Focused Therapy, PLLC
- Clinic Pharmacy Inc
- Clinic Pharmacy Inc
- Erica Cohen
- Community Action Partnership
- Alisha A Concepcion
- Connect Medical Clinic
- Breilyn S Conrad
All providers in Dickinson, ND · Physician Assistant in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 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.
- Order and Referring (CMS).
- 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.