Jacquelyn A Liffrig, RN, BSN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R37610 Issued in ND

Practice address

437 3Rd Ave SE
Garrison, ND 58540

Phone

(701) 463-2245

Fax

(701) 463-6543

NPI assigned

Jun 26, 2015

Last updated

Jun 26, 2015By the provider in NPPES

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

Other names 1

• Jacquelyn A Laetsch Former name

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

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hetland Ear Nose Throat PCGroup PAC ID 5496037038, 5 clinicians

Omaha Therapy IncGroup PAC ID 1557270915, 68 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI St Alexius Health Hospital, Bismarck, ND, CCN 350002
• Sanford Medical Center Bismarck Hospital, Bismarck, ND, CCN 350015
• CHI St Alexius Health Dickinson Hospital, Dickinson, ND, CCN 351336

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor on Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13015/brand/1/csg/1/fhir/r4
• Direct secure messaging: jliffrig@hetlandent.emadirect.md

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.

• Hetland Ear Nose Throat PC

  • Otolaryngology Physician
  • Bismarck, ND
  • NPI 1932642790
  Medicare reassignment Care Compare group NPD
• Omaha Therapy, Inc

  dba Rehab Visions

  • Rehabilitation Clinic/Center
  • Dickinson, ND
  • NPI 1730280371
  Care Compare group
• Eyes on Parkway PC

  • Durable Medical Equipment & Medical Supplies
  • Bismarck, ND
  • NPI 1679631477
  NPD (past)

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

• Sanford Bismarck

  dba Sanford MRI Center

  • General Acute Care Hospital
  • Bismarck, ND
  • NPI 1538245634
  Care Compare affiliation
• St. Alexius Medical Center

  dba CHI St. Alexius Health

  • General Acute Care Hospital
  • Bismarck, ND
  • NPI 1306832654
  Care Compare affiliation
• St. Joseph's Hospital and Health Center

  dba CHI St Alexius Health Dickinson

  • Critical Access Hospital
  • Dickinson, ND
  • NPI 1992947956
  Care Compare affiliation

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435276800000",
    "number": "1407238371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 3RD AVE SE",
            "city": "GARRISON",
            "state": "ND",
            "postal_code": "58540",
            "telephone_number": "701-463-2245",
            "fax_number": "701-463-6543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 3RD AVE SE",
            "city": "GARRISON",
            "state": "ND",
            "postal_code": "58540",
            "telephone_number": "701-463-2245",
            "fax_number": "701-463-6543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIFFRIG",
        "first_name": "JACQUELYN",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R37610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELYN",
            "last_name": "LAETSCH",
            "middle_name": "A",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heather Leah Hunt, DPT
• Tammy K Iglehart, PT, ATC
• Kelly Chiropractic, PC
• Lakeview Chiropractic
• Nicole Larson, RN
• Paul Reynes Minoza, FNP-C
• Kurt D Olson, PT
• Arthur J Renner, PA-C
• Hedi J Rime, NP
• Richard A Rime, DC

• Family Nurse Practitioner in Garrison, ND
• Providers in Garrison, 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 Jun 26, 2015; 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.