David Eugene Emmons, APRN-FNP
Individual provider Active NPI Family Nurse Practitioner · New Town, ND
NPI 1588018014 · NPPES record last updated Apr 15, 2025
Key facts
- NPI
- 1588018014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R47004 (ND)
- Practice address
- 1251 Elbowoods Loop
New Town, ND 58763-9112 - Phone
- (701) 627-4750
- Fax
- (701) 627-4223
- NPI assigned
- Apr 21, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Elbowoods Memorial Health Center
Practice addresses (Care Compare)
1058 College Dr
New Town, ND 58763-9112
Phone (701) 627-4750
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 |
|---|---|---|---|---|
| I20180320000453 | ND | Practitioner - Nurse Practitioner | 8224310222 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R47004 | ND | MD | Family Nurse Practitioner |
| 77628 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elbowoods Memorial Health Center | Current |
Accepting new patients | |
| Ahs Oklahoma Physician Group LLC | 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
Interoperability endpoints
- https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 77628 | OK | |
| Family Nurse Practitioner | 363LF0000X | 77628 | OK | |
| Family Nurse Practitioner | 363LF0000X | R47004 | ND | Yes |
Addresses
Primary practice location
1251 Elbowoods Loop
New Town, ND 58763-9112
Mailing address
1251 Elbowoods Loop
New Town, ND 58763-9112
Phone (701) 627-4750
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200682230A | Medicaid | OK |
Other providers in New Town, ND
- Elbowoods Memorial Health Center
- Elbowoods Memorial Health Center
- Elbowoods Memorial Health Center Pharmacy
- Elbwoods Memorial Health Center
- Izuchukwu McIver Emejulu
- Jasmin Denae Enockson
- Yujia Fan
- Sierra Dawn Flying Horse
- Gregory L Fondong
- Joni Foote
All providers in New Town, 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 Apr 15, 2025. 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.