Individual provider Active NPI

Condetta Ness, FNP-C

  • Family Nurse Practitioner
  • Northwood, ND
National Provider Identifier
1326048232
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R18461 Issued in ND
Practice address
4 N Park St
Northwood, ND 58267-4102
Phone
(701) 587-6060
Fax
(701) 587-6009
NPI assigned
Jul 21, 2005
Last updated
Nov 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R18461 ND
Family Nurse Practitioner 363LF0000X R18461 ND Primary
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

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
I20040706001228 ND Practitioner - Nurse Practitioner 5799762811 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4 N Park St
Northwood, ND 58267-4102
Phone (701) 587-6060

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PAC0060NDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northwood Deaconess Health Center CurrentSince Sep 1, 2000 Accepting new patients
Northwood Deaconess Health Center CurrentSince Sep 1, 2000 Accepting new patients

Locations

611 Towner Ave
Larimore, ND 58251
Phone (701) 431-2999

Organizations & group practices 3

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1326048232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "NORTHWOOD",
            "state": "ND",
            "postal_code": "582670190",
            "telephone_number": "701-587-6060",
            "fax_number": "701-587-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 N PARK ST",
            "city": "NORTHWOOD",
            "state": "ND",
            "postal_code": "582674102",
            "telephone_number": "701-587-6060",
            "fax_number": "701-587-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESS",
        "first_name": "CONDETTA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ND",
            "license": "R18461",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R18461",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ND",
            "license": "PAC0060",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northwood, ND

Sources for this page

Verify at the official NPI Registry.