Individual provider Active NPI

Amber Thomas, FNP

  • Primary Care Nurse Practitioner
  • Bismarck, ND
National Provider Identifier
1295335727
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
R35648 Issued in ND
Practice address
1001 Gateway Ave
Bismarck, ND 58503-0508
Phone
(701) 751-3271
NPI assigned
Oct 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X R35648 ND Primary

Addresses

Primary practice location

1001 Gateway Ave
Bismarck, ND 58503-0508

Mailing address

1001 Gateway Ave
Bismarck, ND 58503-0508
Phone (701) 751-3271

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Bismarck Direct

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
I20201120001103 ND Practitioner - Nurse Practitioner 7113338294 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R35648NDMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Vein Clinics, PC CurrentSince Jul 10, 2023 Accepting new patients
Bachndoc Inc. CurrentSince Nov 1, 2020 Accepting new patients

Locations

1001 Gateway Ave
Bismarck, ND 58503
Phone (701) 734-3104

1650 45th St S
Ste 114
Fargo, ND 58103
Phone (800) 597-2095

Interoperability endpoints

  • Direct secure messaging: amber.thomas.1@28859.direct.athenahealth.com

Organizations & group practices 2

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": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1295335727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 GATEWAY AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030508",
            "telephone_number": "701-751-3271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 GATEWAY AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030508",
            "telephone_number": "701-751-3271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "AMBER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "ND",
            "license": "R35648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bismarck",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1001 Gateway Ave",
            "city": "Bismarck",
            "state": "ND",
            "country_code": "US",
            "postal_code": "585030508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.