Forrest Leroy Hirsch, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Garrison, ND
NPI 1437645306 · NPPES record last updated Jul 3, 2018
Key facts
- NPI
- 1437645306
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R38999 (ND)
- Practice address
- 437 3Rd Ave SE
Garrison, ND 58540-7235 - Phone
- (701) 463-2245
- Fax
- (701) 463-6543
- NPI assigned
- Jul 3, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Garrison Memorial Hospital
Practice addresses (Care Compare)
437 3 Ave SE
Garrison, ND 58540-7235
Phone (701) 463-2275
Hospital & facility affiliations
- CHI Health at Home
- Garrison Memorial Hospital
- CHI St Alexius Health
- Trinity Hospitals
- CHI St Alexius Health Turtle Lake
- Sanford Medical Center Bismarck
- Garrison Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.48 of 100
- Quality
- 73.03
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.91
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180919000903 | ND | Practitioner - Nurse Practitioner | 6507117280 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Alexius Medical Center | Family | Current |
Accepting new patients |
| St. Alexius Medical Center | Current | Accepting new patients | |
| Garrison Memorial Hospital | Current |
Accepting new patients | |
| St. Alexius Medical Center | Current | Accepting new patients | |
| Garrison Memorial Hospital | Current |
Accepting new patients | |
| St Alexius Medical Center | Current |
Accepting new patients |
Locations
407 3rd Ave SE
Garrison, ND 58540
Phone (701) 463-2245
437 3rd Ave SE
Garrison, ND 58540
Phone (701) 463-2245
220 5th Ave W
Turtle Lake, ND 58575
Phone (701) 448-2331
1177 Border Ln
Washburn, ND 58577
Phone (701) 462-3396
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R38999 | ND | Yes |
Addresses
Primary practice location
437 3Rd Ave SE
Garrison, ND 58540-7235
Mailing address
437 3Rd Ave SE
Garrison, ND 58540-7235
Phone (701) 463-2245
Other practice location 1
407 3rd Ave SE
Garrison, ND 58540-7235
Phone (701) 463-2275
Other providers in Garrison, ND
- Denise Marie Gradin
- Luanna Graeber
- Ann Hagen-Reinholt
- Vern Allen Harchenko
- Kelly C Heinze
- Heather Leah Hunt
- Tammy K Iglehart
- Kelly Chiropractic, PC
- Lakeview Chiropractic
- Nicole Larson
All providers in Garrison, ND · Family Nurse Practitioner in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.