Individual provider Active NPI

Frederick Kaye Ness, MD

  • Family Medicine Physician
  • Belcourt, ND
National Provider Identifier
1306864665
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30688 Issued in MN
Practice address
#1 Hospital Rd
Belcourt, ND 58316-0160
Phone
(701) 477-6111
Fax
(701) 477-2407
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 30688 MN Primary
Family Medicine Physician 207Q00000X 46259 WI

Addresses

Primary practice location

#1 Hospital Rd
Belcourt, ND 58316-0160

Mailing address

PO Box 160
Belcourt, ND 58316-0160
Phone (701) 477-6111

Other identifiers 1

IdentifierTypeStateIssuer
273283100MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, ND, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20041022000141 MN Practitioner - Family PracticePractitioner - Emergency Medicine 1153382288 Reassigns benefits to 1 organization
I20090526000328 ND Practitioner - Emergency MedicinePractitioner - Family Practice 1153382288 Reassigns benefits to 1 organization
I20110506000027 TX Practitioner - Family Practice 1153382288 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30688MNMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Center Current Accepting new patients
Eagle Butte Indian Health Service Hospital CurrentSince Nov 4, 2022 Accepting new patients
Mercy Medical Center CurrentSince Sep 29, 2016 Accepting new patients
Mercy Home Care CurrentSince Sep 29, 2016 Accepting new patients
Quentin N Burdick Comprehensive Health Care Facility CurrentSince Jan 19, 2012 Accepting new patients
Allina Health System Past Accepting new patients
Quentin N Burdick Comprehensive Health Care Facility Past Accepting new patients
Mercy Health Services-Iowa Corp Past Accepting new patients
Rapid City Indian Health Service Hospital Past Accepting new patients

Locations

3369 Solutions Ctr
Chicago, IL 60677

1300 Hospital Loop
Belcourt, ND 58316

1301 15th Ave W
Williston, ND 58801
Phone (701) 774-7400

4100 W 150th St
#3
Cleveland, OH 44135

Interoperability endpoints

  • Direct secure messaging: frederick.ness@avera.sdhealthlink.net

Organizations & group practices 10

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1306864665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "BELCOURT",
            "state": "ND",
            "postal_code": "583160160",
            "telephone_number": "701-477-6111",
            "fax_number": "701-477-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#1 HOSPITAL RD",
            "city": "BELCOURT",
            "state": "ND",
            "postal_code": "583160160",
            "telephone_number": "701-477-6111",
            "fax_number": "701-477-2407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESS",
        "first_name": "FREDERICK",
        "middle_name": "KAYE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "30688",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "46259",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273283100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belcourt, ND

Sources for this page

Verify at the official NPI Registry.