Individual provider Active NPI

Robin Pursifull, FNP

  • Family Nurse Practitioner
  • Minot, ND
National Provider Identifier
1245824838
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F02210877 Issued in ND
Practice address
1705 4TH Ave NW
Minot, ND 58703-2912
Phone
(701) 839-0474
NPI assigned
Feb 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F02210877 ND Primary

Addresses

Primary practice location

1705 4TH Ave NW
Minot, ND 58703-2912

Mailing address

3015 16TH St SW Apt 316
Minot, ND 58701-6909
Phone (850) 543-9469

Other practice location 1

3015 16th St SW
Minot, ND 58701-6906
Phone (850) 543-9469

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
I20220808002443 ND Practitioner - Nurse Practitioner 9436531415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1705 4TH Ave NW
Minot, ND 58703-2912
Phone (701) 839-0474

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F02210877NDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Robin Pursifull LLC Family CurrentSince Jun 17, 2023 Accepting new patients

Locations

1705 4th Ave NW
Minot, ND 58703
Phone (701) 839-0474

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1245824838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 16TH ST SW APT 316",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016909",
            "telephone_number": "850-543-9469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 4TH AVE NW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587032912",
            "telephone_number": "701-839-0474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3015 16th St SW",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587016906",
            "country_code": "US",
            "telephone_number": "850-543-9469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURSIFULL",
        "first_name": "ROBIN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-24",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "F02210877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

Verify at the official NPI Registry.