Judy A Pegg, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PAC0276 Issued in ND

Practice address

301 Mountain St E
Cavalier, ND 58220-4015

Phone

(701) 265-8461

NPI assigned

Oct 2, 2006

Last updated

Jul 25, 2022By 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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Altru Health System

  dba Altru 1300 Columbia

  • Clinic/Center
  • Grand Forks, ND
  • NPI 1043309552
  Medicare reassignment NPD
• Pembina County Memorial Hospital Association

  dba Clinicare

  • Rural Health Clinic/Center
  • Cavalier, ND
  • NPI 1417093949
  Medicare reassignment NPD
• Pembina County Memorial Hospital Association

  • Medicare Defined Swing Bed Hospital Unit
  • Cavalier, ND
  • NPI 1063634210
  NPD
• Cavalier Optometry Clinic LTD

  • Optometrist
  • Cavalier, ND
  • NPI 1730173238
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1265525299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 DEMERS AVE",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "58201",
            "telephone_number": "701-780-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MOUNTAIN ST E",
            "city": "CAVALIER",
            "state": "ND",
            "postal_code": "582204015",
            "telephone_number": "701-265-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEGG",
        "first_name": "JUDY",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ND",
            "license": "PAC0276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri A Machart, LSW
• Kinsey Oakland Maertens, PHARMD
• Yanelli Martinez
• Jenna Marie Mertz
• Mark Elliot Olson, DDS
• Pembina County (Pembina County Social Services)
• Pembina County Memorial Hospital Association
• Pembina County Memorial Hospital Association (Clinicare)
• Pembina County Memorial Hospital Association (Wedgewood Manor)
• Pembina County Memorial Hospital Association (Clinicare)

• Physician Assistant in Cavalier, ND
• Providers in Cavalier, ND by specialty
• Physician Assistant in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.