Shanda Harstad, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2022030242 Issued in ND

Practice address

1301 15TH Ave W
Williston, ND 58801-3821

Phone

(701) 572-7651

NPI assigned

Jul 5, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Nurse Practitioner

Education

University of North Dakota School of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skin Win Dermatology PCGroup PAC ID 6901221597, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI St Alexius Health Williston Hospital, Williston, ND, CCN 351334

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shandaharstad@normd.allscriptsdirect.net
• FHIR API: https://app.meldrx.com/api/fhir/ez_00276

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.

• Skin Win Dermatology PC

  • Dermatology Physician
  • Williston, ND
  • NPI 1992343198
  Medicare reassignment Care Compare group NPD
• Mercy Medical Center

  • Psychiatry Physician
  • Williston, ND
  • NPI 1801928593
  Medicare reassignment NPD
• Mercy Medical Center

  • Critical Access Hospital
  • Williston, ND
  • NPI 1902824576
  Medicare reassignment NPD
• Mercy Home Care

  • Home Health Agency
  • Williston, ND
  • NPI 1871593723
  NPD
• Mercy Medical Center

  • Clinic/Center
  • Williston, ND
  • NPI 1760549000
  NPD
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)

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

• Mercy Medical Center

  • Critical Access Hospital
  • Williston, ND
  • NPI 1902824576
  Care Compare affiliation

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1376276766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 15TH AVE W",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588013821",
            "telephone_number": "701-572-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 15TH AVE W",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588013821",
            "telephone_number": "701-572-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARSTAD",
        "first_name": "SHANDA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "2022030242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicolette Hargrave
• Shauna Marie Harkison, MSN, RN
• Sherrie Harrah
• Kristin Shante Harrison
• Jordan Harstad, LAPC
• Heather Rose Hass, MS, CNM, WHNP-BC
• Virginia A Hass, LMSW
• Darian Haug, LAC
• Martin John Haug, DPT
• Vicki Hauge

• Family Nurse Practitioner in Williston, ND
• Providers in Williston, ND by specialty
• Family Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.