Active NPI
Lisa J Clairmont, FNP
- Nurse Practitioner
- Bismarck, ND
National Provider Identifier
1174611370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R24466
- Practice address
- 222 N 7TH St
Bismarck, ND 58501-4436 - Phone
- (701) 323-6000
- Fax
- (701) 323-5709
- NPI assigned
- Oct 11, 2006
- Last updated
- Apr 29, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R24466 | ND | Primary |
Addresses
Primary practice location
222 N 7TH St
Bismarck, ND 58501-4436
Mailing address
PO Box 5501
Bismarck, ND 58506-5501
Phone (701) 323-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19852 | Medicaid | ND |
Other names 1
- Lisa J Wentz
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lclairmont4798993@direct.sanfordhealth.org |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
4535 Northern Sky Dr
Bismarck, ND 58503-8534
Phone (701) 323-8700
683 State Ave
Dickinson, ND 58601-4660
Phone (701) 483-9400
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.63 of 100
- Quality
- 89.39
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.04
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R24466 | ND | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Bismarck | Current | Accepting new patients | |
| Medcenter One Health Systems DME | Current | Accepting new patients | |
| Sanford Bismarck | Current | Accepting new patients | |
| Sanford Bismarck | Current | Accepting new patients |
Locations
222 N 7th St
Bismarck, ND 58501
Phone (701) 323-5422
3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300
Organizations & group practices 5
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.
-
- Durable Medical Equipment & Medical Supplies
- Bismarck, ND
- NPI 1629113253
-
dba Sanford Laboratory Bismarck
- Clinical Medical Laboratory
- Bismarck, ND
- NPI 1154485944
-
dba Sanford Health Occupational Medicine Clinic
- Occupational Medicine Clinic/Center
- Dickinson, ND
- NPI 1669524351
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sakakawea Medical Center
- Critical Access Hospital
- Hazen, ND
- NPI 1700965696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651190400000",
"number": "1174611370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5501",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585065501",
"telephone_number": "701-323-6000",
"fax_number": "701-323-5709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 N 7TH ST",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585014436",
"telephone_number": "701-323-6000",
"fax_number": "701-323-5709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAIRMONT",
"first_name": "LISA",
"middle_name": "J",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2022-04-29",
"certification_date": "2022-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ND",
"license": "R24466",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "19852",
"state": "ND"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lclairmont4798993@direct.sanfordhealth.org",
"affiliation": "N",
"address_1": "222 N 7th St",
"city": "Bismarck",
"state": "ND",
"country_code": "US",
"postal_code": "585014436",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LISA",
"last_name": "WENTZ",
"middle_name": "J",
"credential": "FNP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.