Michelle Marie Fortney, APRN, PMHCNS

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

R25856 Issued in ND

Practice address

309 N Mandan St, Ste 1
Bismarck, ND 58501-3886

Phone

(701) 323-0924

Fax

(701) 323-0935

NPI assigned

Oct 5, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Michelle Marie Fike Former name

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

Certified Clinical Nurse Specialist (CNS)

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Krumm and Co PLLCGroup PAC ID 1759726037, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michelle.fike.1@23247.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/23247/brand/1/csg/1/fhir/r4

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

• Krumm & Co., PLLC

  dba Chambers & Blohm Psychological Services

  • Psychologist
  • Bismarck, ND
  • NPI 1568239903
  Medicare reassignment Care Compare group NPD
• Chambers & Blohm Psychological

  • Clinical Psychologist
  • Bismarck, ND
  • NPI 1114045465
  Medicare reassignment NPD

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1174858468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 N. MANDAN ST, STE. 1",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585013886",
            "telephone_number": "701-323-0924",
            "fax_number": "701-323-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 N MANDAN ST, STE 1",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585013886",
            "telephone_number": "701-323-0924",
            "fax_number": "701-323-0935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTNEY",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "APRN, PMHCNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-05",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "ND",
            "license": "R25856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1450545",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "R25856",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "FIKE",
            "middle_name": "MARIE",
            "credential": "APRN, PMHCNS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Forthright Therapy Collective, PLLC
• Aaron C Fortney, MD
• Adam Christian Fortney, OD
• Arelissa Maria Fortney, OD
• Michael Fortney, M.D.
• Jennifer Foss
• Amanda Catherine Fossum, DNP
• Daniel Foster, LCSW
• Amber R Fox, MS. CCC-SLP
• Kaylen Abigail Fox

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.