NPIMap

Individual provider Active NPI

Jeffrey Eugene Hostetter, MD

  • Family Medicine Physician
  • Bismarck, ND
National Provider Identifier
1275561102
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
8748 Issued in ND
Practice address
701 E Rosser Ave
Bismarck, ND 58501-4457
Phone
(701) 751-9500
Fax
(701) 751-9508
NPI assigned
Jun 29, 2006
Last updated
Apr 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 8748 ND Primary

Addresses

Primary practice location

701 E Rosser Ave
Bismarck, ND 58501-4457

Mailing address

701 E Rosser Ave
Bismarck, ND 58501-4457
Phone (701) 751-9500

Other identifiers 2

IdentifierTypeStateIssuer
11603MedicaidND
20888OtherNDBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031215000790 ND Practitioner - Family Practice 6406766583 Reassigns benefits to 1 organization
I20141217002689 MT Practitioner - Family Practice 6406766583 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Powder River CountyGroup PAC ID 2860543667, shared by 3 NPIs, 5 clinicians
University of North DakotaGroup PAC ID 2961395934, 29 clinicians

Practice addresses (Care Compare)

104 N Trautman Ave
Broadus, MT 59317-7504
Phone (406) 436-2872

507 N Lincoln Ave
Broadus, MT 59317-0489
Phone (406) 436-2651

701 E Rosser Ave
Bismarck, ND 58501-4457
Phone (701) 751-6755

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as group
Quality
65.82
Promoting interoperability
100
Improvement activities
40
Cost
82.83

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8748NDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Dakota Family Medicine Current Accepting new patients
Powder River County CurrentSince Sep 26, 2014 Accepting new patients
University of North Dakota Family Medicine CurrentSince Jul 1, 2001 Accepting new patients
Powder River County CurrentSince Sep 3, 2014 Accepting new patients
Powder River County Family Medicine CurrentSince Sep 3, 2014 Accepting new patients
University of North Dakota CurrentSince Jul 1, 2001 Accepting new patients
Missouri Slope Lutheran Care Center, Inc. Past Accepting new patients
University of North Dakota Center for Sports Medicine Past Accepting new patients
Mid Dakota Clinic, Inc. Past Accepting new patients
St. Alexius Medical Center Past Accepting new patients
Fort Yates Indian Health Service Hospital Past Accepting new patients
Sanford Bismarck Past Accepting new patients

Locations

515 E Broadway Ave
Bismarck, ND 58501
Phone (701) 323-5324

701 E Rosser Ave
Bismarck, ND 58501
Phone (701) 751-6755

1201 11th Ave SW
Minot, ND 58701
Phone (701) 858-6700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AFEICA/Endpoint/AFEICA

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Powder River ManorBroadus, MT, CCN 275087 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2015
Jan 1, 2015

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1275561102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E ROSSER AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014457",
            "telephone_number": "701-751-9500",
            "fax_number": "701-751-9508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E ROSSER AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014457",
            "telephone_number": "701-751-9500",
            "fax_number": "701-751-9508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSTETTER",
        "first_name": "JEFFREY",
        "middle_name": "EUGENE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "8748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11603",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "20888",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.