Alexis Jae Int Veldt

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PAC1086 Issued in ND

Practice address

225 N 7TH St
Bismarck, ND 58501-4417

Phone

(701) 323-8920

NPI assigned

Feb 6, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sanford BismarckGroup PAC ID 9739098575, 562 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sanford Medical Center Bismarck Hospital, Bismarck, ND, CCN 350015
• Sakakawea Medical Center - Cah Hospital, Hazen, ND, CCN 351310
• CHI St Alexius Health Hospital, Bismarck, ND, CCN 350002

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Sanford Bismarck

  • Multi-Specialty Clinic/Center
  • Bismarck, ND
  • NPI 1811941172

  ND

  Medicare reassignment Care Compare group NPD
• Sanford Bismarck

  • Clinical Medical Laboratory
  • Bismarck, ND
  • NPI 1154485944
  Care Compare group
• Sanford Bismarck

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Fort Yates, ND
  • NPI 1396828547
  Care Compare group
• Sanford Bismarck

  • Community Based Hospice Care Agency
  • Mandan, ND
  • NPI 1477631745
  Care Compare group
• Sanford Bismarck

  • General Acute Care Hospital
  • Bismarck, ND
  • NPI 1538245634
  Care Compare group
• Sanford Bismarck

  • Ambulatory Surgical Clinic/Center
  • Dickinson, ND
  • NPI 1598185597
  Care Compare group
• Sanford Bismarck

  • Home Health Agency
  • Mandan, ND
  • NPI 1669555744
  Care Compare group
• Sanford Bismarck

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bismarck, ND
  • NPI 1700962818
  Care Compare group
• Sanford Bismarck

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Jamestown, ND
  • NPI 1720161953
  Care Compare group
• Sanford Bismarck

  • Community/Retail Pharmacy
  • Bismarck, ND
  • NPI 1790889715
  Care Compare group

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

• Hazen Memorial Hospital Association

  • Critical Access Hospital
  • Hazen, ND
  • NPI 1700965696

  Hospital

  Care Compare affiliation
• Sanford Bismarck

  • General Acute Care Hospital
  • Bismarck, ND
  • NPI 1538245634

  Hospital

  Care Compare affiliation
• St. Alexius Medical Center

  • General Acute Care Hospital
  • Bismarck, ND
  • NPI 1306832654

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1336902832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074",
            "telephone_number": "605-328-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N 7TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014417",
            "telephone_number": "701-323-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INT VELDT",
        "first_name": "ALEXIS",
        "middle_name": "JAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ND",
            "license": "PAC1086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Bismarck, ND
• Physician Assistant in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.