NPIMap

Individual provider Active NPI

Tammie M Braaflat, FNP

  • Family Nurse Practitioner
  • Stanley, ND
National Provider Identifier
1447423538
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R30423 Issued in ND
Practice address
615 6TH St SE
Stanley, ND 58784-4444
Phone
(701) 628-2505
Fax
(701) 628-3703
NPI assigned
Apr 9, 2008
Last updated
Jun 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R30423 ND Primary

Addresses

Primary practice location

615 6TH St SE
Stanley, ND 58784-4444

Mailing address

PO Box 399
Stanley, ND 58784-0399
Phone (701) 628-2505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081211000538 ND Practitioner - Nurse Practitioner 7911068770 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountrail County Medical Center IncGroup PAC ID 9739088931, shared by 3 NPIs, 12 clinicians

Practice addresses (Care Compare)

615 6TH St SE
Stanley, ND 58784-4444
Phone (701) 628-2505

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.32 of 100Reported as apm
Quality
71.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mountrail County Medical Center, Inc. Current Accepting new patients
Mountrail County Medical Center, Inc. CurrentSince Mar 1, 2016 Accepting new patients
Elbowoods Memorial Health Center CurrentSince Oct 6, 2008 Accepting new patients
Three Affiliated Tribes Twin Buttes Health Care Center Past Accepting new patients
Three Affiliated Tribes Parshall Health Care Center Past Accepting new patients

Locations

1058 College Dr
New Town, ND 58763
Phone (701) 627-4750

1251 Elbowoods Loop
New Town, ND 58763
Phone (701) 627-4750

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1447423538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 399",
            "city": "STANLEY",
            "state": "ND",
            "postal_code": "587840399",
            "telephone_number": "701-628-2505",
            "fax_number": "701-628-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 6TH ST SE",
            "city": "STANLEY",
            "state": "ND",
            "postal_code": "587844444",
            "telephone_number": "701-628-2505",
            "fax_number": "701-628-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAAFLAT",
        "first_name": "TAMMIE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R30423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanley, ND

Sources for this page

Verify at the official NPI Registry.