NPIMap

Organization Active NPI

Embrace Wellness PLLC

  • Primary Care Clinic/Center
  • Bismarck, ND
National Provider Identifier
1265836977
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
EMBRACE WELLNESS PLLC
Practice address
1140 W Capitol Ave
Bismarck, ND 58501-1306
Phone
(701) 751-7244
Fax
(701) 751-7247
NPI assigned
Oct 9, 2014
Last updated
Apr 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Authorized official

Name
Mrs. Michelle Dawn Maier, MSNNPI 1831243005
Title
FNP-C
Phone
(701) 471-0834

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

1140 W Capitol Ave
Bismarck, ND 58501-1306

Mailing address

1140 W Capitol Ave
Bismarck, ND 58501-1306
Phone (701) 751-7244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160425002262 ND Part B Supplier - Clinic/Group Practice 7618276684 Receives reassigned benefits from 2 practitioners
Practice locations: Bismarck, ND

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25912/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587340800000",
    "number": "1265836977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 W CAPITOL AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011306",
            "telephone_number": "701-751-7244",
            "fax_number": "701-751-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W CAPITOL AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011306",
            "telephone_number": "701-751-7244",
            "fax_number": "701-751-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACE WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-09",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A",
        "authorized_official_last_name": "MAIER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "FNP-C",
        "authorized_official_telephone_number": "701-471-0834",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.