Individual provider Active NPI

Jillian Sampair, DO

  • Emergency Medicine Physician
  • Bismarck, ND
National Provider Identifier
1558980326
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
20524 Issued in ND
Practice address
900 E Broadway Ave
Bismarck, ND 58501-4520
Phone
(701) 530-7000
NPI assigned
Apr 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 02007272A IN
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 20524 ND Primary

Addresses

Primary practice location

900 E Broadway Ave
Bismarck, ND 58501-4520

Mailing address

900 E Broadway Ave
Bismarck, ND 58501-4520

Other practice location 1

2213 Cherry St
Toledo, OH 43608-2603
Phone (419) 251-4724

Other practice location 2

85 E US Hwy 6
Valparaiso, IN 46383-2603
Phone (856) 686-4371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, ND2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230628002063 IN Practitioner - Emergency Medicine 5193147981 Reassigns benefits to 1 organization
I20240215001487 ND Practitioner - Emergency Medicine 5193147981 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.5 of 100Reported as group
Quality
79.54
Improvement activities
40
Cost
78.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
02007272AINMDEmergency Medicine Physician
20524NDMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Home Care CurrentSince Jan 30, 2025 Accepting new patients
St Joseph'S Hospital and Health Center CurrentSince Sep 29, 2025 Accepting new patients
Healthsource Partners ND LLC Emergency Medicine CurrentSince Jan 10, 2024 Accepting new patients
Mercy Medical Center Current Accepting new patients
Emergency Professionals of Indiana, P.C. Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Mercy Medical Center Emergency Medicine CurrentSince Jan 30, 2025 Accepting new patients
St Joseph'S Hospital and Health Center Current Accepting new patients
St Joseph'S Hospital and Health Center CurrentSince Sep 29, 2025 Accepting new patients
Mercy Medical Center Current Accepting new patients

Locations

3369 Solutions Ctr
Chicago, IL 60677

7360 Solutions Ctr
Chicago, IL 60677
Phone (701) 237-8033

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

3630 Willowcreek Rd
Portage, IN 46368
Phone (219) 364-3000

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

2500 Fairway St
Dickinson, ND 58601
Phone (701) 456-4000

1213 15th Ave W
Williston, ND 58801
Phone (701) 572-7641

1301 15th Ave W
Williston, ND 58801
Phone (701) 774-7400

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1558980326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E BROADWAY AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E BROADWAY AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014520",
            "telephone_number": "701-530-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2213 Cherry St",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436082603",
            "country_code": "US",
            "telephone_number": "419-251-4724",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "85 E US Hwy 6",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463832603",
            "country_code": "US",
            "telephone_number": "856-686-4371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMPAIR",
        "first_name": "JILLIAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "02007272A",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ND",
            "license": "20524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.