NPIMap

Individual provider Active NPI

Elizabeth Ashley Diffely, FNP-C

  • Family Nurse Practitioner
  • Garrison, ND
National Provider Identifier
1245914563
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R36507 Issued in ND
Practice address
437 3Rd Ave SE
Garrison, ND 58540-7235
Phone
(701) 463-6551
NPI assigned
Jun 15, 2023
Last updated
Aug 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F06350881 ND
Family Nurse Practitioner 363LF0000X R36507 ND Primary

Addresses

Primary practice location

437 3Rd Ave SE
Garrison, ND 58540-7235

Mailing address

437 3Rd Ave SE
Garrison, ND 58540-7235
Phone (701) 463-6551

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
I20231027000924 ND Practitioner - Nurse Practitioner 4284080292 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of North Dakota School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garrison Memorial HospitalGroup PAC ID 0143206946, shared by 4 NPIs, 7 clinicians

Practice addresses (Care Compare)

437 3 Ave SE
Garrison, ND 58540-7235
Phone (701) 463-2275

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F06350881NDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Alexius Medical Center CurrentSince Sep 16, 2023 Accepting new patients
St. Alexius Medical Center CurrentSince Sep 16, 2023 Accepting new patients
Garrison Memorial Hospital CurrentSince Nov 12, 2023 Accepting new patients
Garrison Memorial Hospital Current Accepting new patients

Locations

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

407 3rd Ave SE
Garrison, ND 58540
Phone (701) 463-2245

437 3rd Ave SE
Garrison, ND 58540
Phone (701) 463-2245

Organizations & group practices 4

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 11

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": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1245914563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 3RD AVE SE",
            "city": "GARRISON",
            "state": "ND",
            "postal_code": "585407235",
            "telephone_number": "701-463-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 3RD AVE SE",
            "city": "GARRISON",
            "state": "ND",
            "postal_code": "585407235",
            "telephone_number": "701-463-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIFFELY",
        "first_name": "ELIZABETH",
        "middle_name": "ASHLEY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "F06350881",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R36507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garrison, ND

Sources for this page

Verify at the official NPI Registry.