Allison Adams, PA
Individual provider Active NPI Physician Assistant · Grand Forks, ND
NPI 1124119920 · NPPES record last updated Feb 12, 2024
Key facts
- NPI
- 1124119920
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PAC0131 (ND)
- Practice address
- 3221 32ND Ave S Ste 700
Grand Forks, ND 58201-6075 - Phone
- (701) 335-4380
- Fax
- (701) 772-0324
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201023002130 | ND | Order and Referring Only - Physician Assistant | 3173682440 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PAC0131 | ND | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PAC0131 | ND | Yes |
Addresses
Primary practice location
3221 32ND Ave S Ste 700
Grand Forks, ND 58201-6075
Mailing address
3221 32ND Ave S Ste 700
Grand Forks, ND 58201-6075
Phone (701) 335-4380
Other names
- Allison Adams
Other providers in Grand Forks, ND
- Helen M Achilleoudes
- Wendy Michelle Ackerman
- Jan Stegmaier Ackley
- Jessica Lynn Adam
- Margo Adams Larsen
- Catherine A. Adams
- Darla J Adams
- Edward L Adams
- Jill E Adams
- Kelsey Anne Adams
All providers in Grand Forks, 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 Feb 12, 2024. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.