Mikkel Elizabeth Buckmier, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R45084 Issued in ND

Practice address

3883 74TH Ave NE
Fort Totten, ND 58335

Phone

(701) 766-1600

NPI assigned

Jun 26, 2020

Last updated

Jun 26, 2020By 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

University of North Dakota School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Good Samaritan Hospital AssociationGroup PAC ID 6002716701, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Heart of America Medical Center Hospital, Rugby, ND, CCN 351332

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Good Samaritan Hospital Association

  dba Heart of America Medical Center

  • Emergency Medicine Physician
  • Rugby, ND
  • NPI 1588751325
  Medicare reassignment Care Compare group NPD
• Good Samaritan Hospital Association

  • Family Medicine Physician
  • Rugby, ND
  • NPI 1578734869
  NPD (past)
• Good Samaritan Hospital Association

  • Family Medicine Physician
  • Maddock, ND
  • NPI 1740451038
  NPD (past)
• Good Samaritan Hospital Association

  dba Heart of America Medical Center

  • Durable Medical Equipment & Medical Supplies
  • Rugby, ND
  • NPI 1922198803
  NPD (past)

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

• Good Samaritan Hospital Association

  dba Heart of America Medical Center

  • Critical Access Hospital
  • Rugby, ND
  • NPI 1437258969
  Care Compare affiliation

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1205453172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 323",
            "city": "MADDOCK",
            "state": "ND",
            "postal_code": "583480323",
            "telephone_number": "701-866-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3883 74TH AVE NE",
            "city": "FORT TOTTEN",
            "state": "ND",
            "postal_code": "58335",
            "telephone_number": "701-766-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKMIER",
        "first_name": "MIKKEL",
        "middle_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-26",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R45084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia R Beckstrand, MT,ASCP
• Destanee Black
• William Black
• Sheila M Blueshield
• Kimberly Ann Brown, MSN, APRN, FNP-C
• Colette Byrum, BSRT(R)(M)
• Carla Carmona
• Justin Cavanaugh
• Sarah Ruth Cavanaugh
• Tracy Sherice Charboneau, REGISTERED NURSE

• Family Nurse Practitioner in Fort Totten, ND
• Providers in Fort Totten, 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 Jun 26, 2020; 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.