Individual provider Active NPI

Melissa Renae McClintock, FNP-C

  • Family Nurse Practitioner
  • Turtle Lake, ND
National Provider Identifier
1659902864
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R44546 Issued in ND
Practice address
55 1St Ave E
Turtle Lake, ND 54889
Phone
(701) 448-9225
Fax
(701) 448-9224
NPI assigned
Jan 28, 2020
Last updated
Aug 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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 R44546 ND Primary

Addresses

Primary practice location

55 1St Ave E
Turtle Lake, ND 54889

Mailing address

55 1 St Ave E
Turtle Lake, ND 54889
Phone (701) 448-9225

Other practice location 1

900 E Broadway Ave
Bismarck, ND 58501-4520
Phone (701) 530-7000

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
I20230607001327 ND Practitioner - Nurse Practitioner 5597122515 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Alexius Medical CenterGroup PAC ID 8426960865, 239 clinicians
Northland Health CentersGroup PAC ID 1557270113, 14 clinicians

Practice addresses (Care Compare)

2500 Sunset Dr
Mandan, ND 58554-1540
Phone (701) 667-4600

416 Kundert St
Turtle Lake, ND 58575-4205
Phone (701) 448-9225

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.48 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.91

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Alexius Medical Center CurrentSince Apr 30, 2023 Accepting new patients
St. Alexius Medical Center CurrentSince Apr 30, 2023 Accepting new patients
Northland Health Centers CurrentSince Jul 1, 2023 Accepting new patients
Northland Health Centers Current Accepting new patients
Northland Health Centers CurrentSince Jul 1, 2023 Accepting new patients
Northland Health Centers Past Accepting new patients

Locations

4315 Ottawa St
Bismarck, ND 58503
Phone (402) 717-1255

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

2500 Sunset Dr
Mandan, ND 58554
Phone (701) 530-3750

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

416 Kundert St
Turtle Lake, ND 58575
Phone (701) 448-2331

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

Interoperability endpoints

  • Direct secure messaging: melissa.mcclintock.p1@direct.northlandchc.nextgenshare.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1659902864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 1 ST AVE E",
            "city": "TURTLE LAKE",
            "state": "ND",
            "postal_code": "54889",
            "telephone_number": "701-448-9225",
            "fax_number": "701-448-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 1ST AVE E",
            "city": "TURTLE LAKE",
            "state": "ND",
            "postal_code": "54889",
            "telephone_number": "701-448-9225",
            "fax_number": "701-448-9224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 E Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585014520",
            "country_code": "US",
            "telephone_number": "701-530-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLINTOCK",
        "first_name": "MELISSA",
        "middle_name": "RENAE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R44546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turtle Lake, ND

Sources for this page

Verify at the official NPI Registry.