Gail Rae Halverson, N.P.

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

R29615 Issued in ND

Practice address

360 Division Ave
Suite 200
Grand Forks, ND 58201-4702

Phone

(701) 775-4251

Fax

(701) 775-3691

NPI assigned

Oct 6, 2005

Last updated

Aug 26, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spectra HealthGroup PAC ID 8022075258, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Altru Hospital Hospital, Grand Forks, ND, CCN 350019

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spectra Health

  • Federally Qualified Health Center (FQHC)
  • Grand Forks, ND
  • NPI 1114343423
  Medicare reassignment Care Compare group
• Myally Health

  • Non-Surgical Family Planning Clinic/Center
  • Grand Forks, ND
  • NPI 1194922328
  NPD (past)
• Spectra Health

  • Federally Qualified Health Center (FQHC)
  • Larimore, ND
  • NPI 1255317905
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Altru Health System

  • General Acute Care Hospital
  • Grand Forks, ND
  • NPI 1154346161
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1154319911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18408 430TH SWAVE",
            "city": "EAST GRAND FORKS",
            "state": "MN",
            "postal_code": "567219257",
            "telephone_number": "701-739-1820",
            "fax_number": "218-773-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 DIVISION AVE",
            "address_2": "SUITE 200",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014702",
            "telephone_number": "701-775-4251",
            "fax_number": "701-775-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALVERSON",
        "first_name": "GAIL",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "ND",
            "license": "R29615",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MN",
            "license": "R118302-3",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53595",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon C Hallahan
• Alyssa Halley
• Stacy Lane Hallgren, D.C., C.C.E.P., CST
• Joseph Hallock
• Brandon M Hallquist, PHARM D
• Larry O Halvorson, MD
• Tyna Marie Halvorson, LPN
• Arlene G Hampton, RN
• Hands of Love Home Care LLC
• Jill R Hankey, PA

• Women's Health Nurse Practitioner in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Women's Health Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.

Verify at the official NPI Registry.