Individual provider Active NPI

Breann Marie Raymond

  • Family Nurse Practitioner
  • Bismarck, ND
National Provider Identifier
1649717851
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R38914 Issued in ND
Practice address
914 S 12TH St Ste 101
Bismarck, ND 58504-5941
Phone
(701) 255-4242
NPI assigned
Jan 25, 2017
Last updated
Apr 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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 R38914 ND Primary

Addresses

Primary practice location

914 S 12TH St Ste 101
Bismarck, ND 58504-5941

Mailing address

914 S 12TH St Ste 101
Bismarck, ND 58504-5941
Phone (701) 255-4242

Other names 1

  • Breann Marie Schaffner Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address braymond@northlandchc.org Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170413000745 ND Practitioner - Nurse Practitioner 3678859212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northland Health CentersGroup PAC ID 1557270113, 14 clinicians

Practice addresses (Care Compare)

914 S 12TH St
Suite 101
Bismarck, ND 58504-5941
Phone (701) 255-4242

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northland Health Centers CurrentSince Aug 1, 2020 Accepting new patients
Northland Health Centers Current Accepting new patients
Northland Health Centers CurrentSince Aug 1, 2020 Accepting new patients
Northland Health Centers Past Accepting new patients

Locations

914 S 12th St
Ste 101
Bismarck, ND 58504
Phone (701) 255-4242

122 2nd St E
McClusky, ND 58463
Phone (701) 363-2296

1600 2nd Ave SW
Ste 19
Minot, ND 58701
Phone (701) 852-4600

55 1st Ave E
Turtle Lake, ND 58575
Phone (701) 448-2054

Interoperability endpoints

  • Direct secure messaging: braymond@northlandchc.org
  • Direct secure messaging: breann.raymond.p1@direct.northlandchc.nextgenshare.com
  • Direct secure messaging: breann.raymond@direct.northlandchc.ndhin.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1649717851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 S 12TH ST STE 101",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585045941",
            "telephone_number": "701-255-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 S 12TH ST STE 101",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585045941",
            "telephone_number": "701-255-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMOND",
        "first_name": "BREANN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-25",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R38914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "braymond@northlandchc.org",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "914 S 12th St Ste 101",
            "city": "Bismarck",
            "state": "ND",
            "country_code": "US",
            "postal_code": "585045941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BREANN",
            "last_name": "SCHAFFNER",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.