Nicole Nordstrom, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F05220767 Issued in ND

Practice address

900 E Broadway Ave
Bismarck, ND 58501-4520

Phone

(701) 530-6500

NPI assigned

Jun 5, 2022

Last updated

Jul 12, 2022By the provider in NPPES

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

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bone and Joint Center PCGroup PAC ID 3173416880, 40 clinicians

St Alexius Medical CenterGroup PAC ID 8426960865, 239 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI St Alexius Health Hospital, Bismarck, ND, CCN 350002
• Sakakawea Medical Center - Cah Hospital, Hazen, ND, CCN 351310
• CHI St Alexius Health Williston Hospital, Williston, ND, CCN 351334

Merit-based Incentive Payment System (MIPS)

Final score

83.48 of 100Reported as group

Quality

73.03

Promoting interoperability

100

Improvement activities

40

Cost

71.91

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Bone & Joint Center PC

  • Orthopaedic Surgery Physician
  • Bismarck, ND
  • NPI 1750307872
  Medicare reassignment Care Compare group NPD
• St. Alexius Medical Center

  dba CHI St. Alexius Health Clinics

  • Specialist
  • Bismarck, ND
  • NPI 1205868429
  Medicare reassignment Care Compare group NPD
• St Alexius Medical Center

  dba CHI St. Alexius Health

  • Home Infusion Therapy Pharmacy
  • Bismarck, ND
  • NPI 1063663607
  NPD

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

• Hazen Memorial Hospital Association

  dba Sakakawea Medical Center

  • Critical Access Hospital
  • Hazen, ND
  • NPI 1700965696
  Care Compare affiliation
• Mercy Medical Center

  dba Chi St Alexius Health Williston

  • Critical Access Hospital
  • Williston, ND
  • NPI 1902824576
  Care Compare affiliation
• St. Alexius Medical Center

  dba CHI St. Alexius Health

  • General Acute Care Hospital
  • Bismarck, ND
  • NPI 1306832654
  Care Compare affiliation

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

{
    "created_epoch": "1654387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1184353344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 MERIDIAN DR",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585048534",
            "telephone_number": "701-400-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E BROADWAY AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014520",
            "telephone_number": "701-530-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDSTROM",
        "first_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-05",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "F05220767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lashae Nolz, SPEECH PATHOLOGIST
• Kranthi Nomula, MD
• Courtney Lynn Nordmeyer, NP-C
• Kathleen A Nordstrom, M.D.
• Margaret Bradley Nordstrom, DNP, FNP-BC
• Nicole Jane Norheim, PSYD
• Brock Norrie, M.D.
• Shauna R Norrie, MOT OTR/L
• North Dakota Department of Health
• North Dakota Department of Health

• Family Nurse Practitioner in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Family Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.

Verify at the official NPI Registry.