NPIMap

Individual provider Active NPI

Kellee A Hollenbeck, NP

  • Nurse Practitioner
  • Bismarck, ND
National Provider Identifier
1184916850
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R29359 Issued in ND
Practice address
310 N 9TH St
Bismarck, ND 58501-4515
Phone
(701) 530-8800
Fax
(701) 751-4550
NPI assigned
May 12, 2011
Last updated
Nov 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R29359 ND Primary

Addresses

Primary practice location

310 N 9TH St
Bismarck, ND 58501-4515

Mailing address

310 N 9TH St
Bismarck, ND 58501-4515
Phone (701) 946-7500

Other identifiers 1

IdentifierTypeStateIssuer
12658MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110715000493 ND Practitioner - Nurse Practitioner 1052589173 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bone and Joint Center PCGroup PAC ID 3173416880, 40 clinicians

Practice addresses (Care Compare)

310 N 9TH St
Bismarck, ND 58501-4515
Phone (701) 946-7500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.67 of 100Reported as group
Quality
80.89
Promoting interoperability
71
Improvement activities
40
Cost
75.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R29359NDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Dakota Surgery Center LLC CurrentSince Jan 5, 2026 Accepting new patients
Bone & Joint Center PC CurrentSince May 13, 2011 Accepting new patients

Locations

310 N 9th St
Bismarck, ND 58501
Phone (701) 530-8800

1002 18th Ave SE
Minot, ND 58701
Phone (215) 205-2610

1002 18th Ave SE
Ste A
Minot, ND 58701

Interoperability endpoints

  • Direct secure messaging: kelleehollenbeck@tbjpc.allscriptsdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1184916850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N 9TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014515",
            "telephone_number": "701-946-7500",
            "fax_number": "701-751-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N 9TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014515",
            "telephone_number": "701-530-8800",
            "fax_number": "701-751-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLENBECK",
        "first_name": "KELLEE",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-12",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ND",
            "license": "R29359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12658",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.