Breann Marie Raymond
Individual provider Active NPI Family Nurse Practitioner · Bismarck, ND
NPI 1649717851 · NPPES record last updated Apr 7, 2021
Key facts
- NPI
- 1649717851
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R38914 (ND)
- Practice address
- 914 S 12TH St Ste 101
Bismarck, ND 58504-5941 - Phone
- (701) 255-4242
- NPI assigned
- Jan 25, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northland Health Centers
Practice addresses (Care Compare)
914 S 12TH St
Suite 101
Bismarck, ND 58504-5941
Phone (701) 255-4242
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 |
|---|---|---|---|---|
| I20170413000745 | ND | Practitioner - Nurse Practitioner | 3678859212 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R38914 | ND | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northland Health Centers | Current |
Accepting new patients | |
| Northland Health Centers | Current | Accepting new patients | |
| Northland Health Centers | Current |
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
- breann.raymond@direct.northlandchc.ndhin.com
- breann.raymond.p1@direct.northlandchc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R38914 | ND | Yes |
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
- Breann Marie Schaffner
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | braymond@northlandchc.org | Direct |
Other providers in Bismarck, ND
- Marisa Rauhauser
- Olimpia Rauta
- Radu Rauta
- Haley Ray
- Gabrielle Escoe Rayfield
- RB Counseling Service LLC
- Red Door Pediatric Therapy, Inc
- Pavan Reddy
- Ginger Reed
- Brenda Reems
All providers in Bismarck, 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 7, 2021. 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.