Condetta Ness, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Northwood, ND
NPI 1326048232 · NPPES record last updated Nov 29, 2023
Key facts
- NPI
- 1326048232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R18461 (ND)
- Practice address
- 4 N Park St
Northwood, ND 58267-4102 - Phone
- (701) 587-6060
- Fax
- (701) 587-6009
- NPI assigned
- Jul 21, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northwood Deaconess Health Center
Practice addresses (Care Compare)
4 N Park St
Northwood, ND 58267-4102
Phone (701) 587-6060
Hospital & facility affiliations
- Northwood Deaconess Health Center
- Altru Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040706001228 | ND | Practitioner - Nurse Practitioner | 5799762811 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PAC0060 | ND | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwood Deaconess Health Center | Current |
Accepting new patients | |
| Northwood Deaconess Health Center | Current |
Accepting new patients |
Locations
611 Towner Ave
Larimore, ND 58251
Phone (701) 431-2999
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R18461 | ND | |
| Family Nurse Practitioner | 363LF0000X | R18461 | ND | Yes |
| Physician Assistant | 363A00000X | PAC0060 | ND |
Addresses
Primary practice location
4 N Park St
Northwood, ND 58267-4102
Mailing address
PO Box 190
Northwood, ND 58267-0190
Phone (701) 587-6060
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01-19170 | Other | MEDICA | |
| 102795600 | Medicaid | MN | |
| 24023 | Other | ND BCBS | |
| 268M8NE | Other | MN | MN BCBS |
| NA9481022062 | Other | PREFERRED ONE | |
| 19733 | Medicaid | ND |
Other providers in Northwood, ND
- Larissa Ann Haug
- Jeanmarie Clara Huot
- Ashley Ledding
- Liv Well Therapy
- Crystal McGuire
- Northwood Chiropractic P C
- Northwood Deaconess Health Center
- Northwood Deaconess Health Center
- Northwood Deaconess Health Center
- Northwood Deaconess Health Center
All providers in Northwood, ND · Family Nurse Practitioner in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.