Active NPI
Stephanie A. Traxinger, DO
- Family Medicine Physician
- Bismarck, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 11444
- Practice address
- 401 N 9TH St.
Bismarck, ND 58501-4491 - Phone
- (701) 530-6000
- Fax
- (701) 530-6407
- NPI assigned
- Jul 29, 2008
- Last updated
- Jun 6, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11444 | ND | Primary |
Addresses
Primary practice location
401 N 9TH St.
Bismarck, ND 58501-4491
Mailing address
401 N 9TH St
Bismarck, ND 58501-4530
Phone (701) 530-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12083 | Medicaid | ND |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2700 State St
Suite A2
Bismarck, ND 58503-0669
Phone (701) 712-4500
Hospital & facility affiliations
- CHI Health at Home
- Essentia Health
- CHI St Alexius Health
- Sanford Medical Center Bismarck
- Linton Hospital - Cah
- Sakakawea Medical Center - Cah
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovis Health LLC | Family Medicine | Current | Accepting new patients |
| Innovis Health, LLC | Current | Accepting new patients | |
| Mid Dakota Clinic, Inc. | Current | Accepting new patients | |
| Innovis Health LLC | Family Medicine | Current | Accepting new patients |
Locations
2700 State St
Bismarck, ND 58503
Phone (701) 221-9152
2700 State St
Ste 1
Bismarck, ND 58503
Phone (701) 530-6280
2700 State St
Ste A2
Bismarck, ND 58503
Phone (701) 712-4500
401 N 9th St
Bismarck, ND 58501
Phone (701) 530-6000
3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-3000
Organizations & group practices 4
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.
-
- Clinic/Center
- Bismarck, ND
- NPI 1275587826
-
dba Essentia Health-Osgood Clinic
- Multi-Specialty Clinic/Center
- Fargo, ND
- NPI 1144776576
Family Medicine
-
dba Essentia Health 32nd Avenue Clinic
- Family Medicine Physician
- Fargo, ND
- NPI 1578907655
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CHI Health at Home
- Home Health Agency
- Bismarck, ND
- NPI 1255788949
-
dba Sakakawea Medical Center
- Critical Access Hospital
- Hazen, ND
- NPI 1700965696
-
- Critical Access Hospital
- Linton, ND
- NPI 1609813625
-
dba CHI St. Alexius Health
- General Acute Care Hospital
- Bismarck, ND
- NPI 1306832654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686009600000",
"number": "1366608465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 N 9TH ST",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585014530",
"telephone_number": "701-530-6000",
"fax_number": "701-530-6407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 N 9TH ST.",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585014491",
"telephone_number": "701-530-6000",
"fax_number": "701-530-6407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAXINGER",
"first_name": "STEPHANIE",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-29",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ND",
"license": "11444",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12083",
"state": "ND"
}
],
"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 Jun 6, 2023; 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.