Individual provider Active NPI

Quinn Noelle Packineau

  • Family Nurse Practitioner
  • Bismarck, ND
National Provider Identifier
1295623171
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
202866 Issued in ND
Practice address
1930 Burnt Boat Dr Ste B
Bismarck, ND 58503-0805
Phone
(701) 490-9596
Fax
(833) 685-2153
NPI assigned
Jun 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 202866 ND Primary

Addresses

Primary practice location

1930 Burnt Boat Dr Ste B
Bismarck, ND 58503-0805

Mailing address

1930 Burnt Boat Dr Ste B
Bismarck, ND 58503-0805
Phone (701) 490-9596

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
202866NDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nurturing Wellness Pediatrics, PLLC PastSince Jun 29, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: quinn.packineau.1@26013.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/26013/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1750982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1295623171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 BURNT BOAT DR STE B",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030805",
            "telephone_number": "701-490-9596",
            "fax_number": "833-685-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 BURNT BOAT DR STE B",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030805",
            "telephone_number": "701-490-9596",
            "fax_number": "833-685-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKINEAU",
        "first_name": "QUINN",
        "middle_name": "NOELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-27",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "202866",
            "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 Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.