Coryn Anne Flemmer

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

203419 Issued in ND

Practice address

721 1St Ave S Ste 1
Jamestown, ND 58401-4723

Phone

(701) 368-4380

NPI assigned

Jun 18, 2024

Last updated

Nov 7, 2025By 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

• Coryn Anne Newcomb 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, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medallus and Vacharothone LTDGroup PAC ID 3072871276, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Medallus & Vacharothone LTD

  • Family Medicine Physician
  • Jamestown, ND
  • NPI 1710496310

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1558104281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 HANNA AVE",
            "city": "VALLEY CITY",
            "state": "ND",
            "postal_code": "580723814",
            "telephone_number": "605-290-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 1ST AVE S STE 1",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584014723",
            "telephone_number": "701-368-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMMER",
        "first_name": "CORYN",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-18",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ND",
            "license": "203419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORYN",
            "last_name": "NEWCOMB",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachel Marie Finch, LAC
• Karen Marie Finck, PHARM.D.
• Kevin D First, PH.D.
• Erwin Fischer, RN
• Lisa Dawn Fisher, MS CCC SLP
• Melanie Flynn
• Justin Folsom
• McKenna Mary Ford
• Shelley Ann Fossen, SLPA
• Gwen Elaine Fraase, RN

• Nurse Practitioner in Jamestown, ND
• Providers in Jamestown, ND by specialty
• Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; 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.