Corrie Lynn Rogness, FNP
Individual provider Active NPI Nurse Practitioner · Hazen, ND
NPI 1609078302 · NPPES record last updated Mar 5, 2021
Key facts
- NPI
- 1609078302
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- R29761 (ND)
- Practice address
- 1000 Highway Dr
Hazen, ND 58545-4731 - Phone
- (701) 748-3334
- NPI assigned
- Jun 4, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surge Fitness LLC | Current |
Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
1000 Highway Dr
Hazen, ND 58545
Phone (701) 748-3334
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R29761 | ND | Yes |
Addresses
Primary practice location
1000 Highway Dr
Hazen, ND 58545-4731
Mailing address
1000 Highway Dr
Hazen, ND 58545-4731
Phone (701) 748-3334
Other practice location 1
1312 Highway 49 N
Beulah, ND 58523-6038
Phone (701) 873-4445
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 499 | Other | ND | G-FAMILY NURSE PRACTITION |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | crogness32114@direct.directaltru.org | Direct |
Other providers in Hazen, ND
- Kristi Jo Pfliger-Keller
- Duane J Pfliger
- Michael Porter
- Priscila J Jelsing DDS PC
- Keri J Roemmich
- Ann Onette Ruffo
- S-6 Senior Services, LLC
- Rachel Savageau
- Michael L Schmit
- Carin Souther
All providers in Hazen, ND · 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 Mar 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.