Individual provider Active NPI

Alisa Dinges

  • Psychiatric/Mental Health Nurse Practitioner
  • Bismarck, ND
National Provider Identifier
1194365759
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R40463 Issued in ND
Practice address
425 E Avenue C
Bismarck, ND 58501-3942
Phone
(701) 712-9962
Fax
(701) 354-2219
NPI assigned
Jan 12, 2020
Last updated
Feb 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R40463 ND Primary

Addresses

Primary practice location

425 E Avenue C
Bismarck, ND 58501-3942

Mailing address

425 E Avenue C
Bismarck, ND 58501-3942
Phone (701) 712-9962

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200303000971 ND Practitioner - Nurse Practitioner 5597192500 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Missouri River HealthGroup PAC ID 0648684324, 4 clinicians

Practice addresses (Care Compare)

425 E Ave C
Bismarck, ND 58501-3942
Phone (701) 712-9962

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Missouri River Health CurrentSince Nov 1, 2022 Accepting new patients

Locations

425 E Avenue C
Bismarck, ND 58501
Phone (701) 530-3200

Interoperability endpoints

  • Direct secure messaging: alisa.dinges.1@23124.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23124/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1578787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1194365759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E AVENUE C",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585013942",
            "telephone_number": "701-712-9962",
            "fax_number": "701-354-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E AVENUE C",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585013942",
            "telephone_number": "701-712-9962",
            "fax_number": "701-354-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINGES",
        "first_name": "ALISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-12",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ND",
            "license": "R40463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.