Melissa Renae McClintock, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Turtle Lake, ND
NPI 1659902864 · NPPES record last updated Aug 16, 2024
Key facts
- NPI
- 1659902864
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R44546 (ND)
- Practice address
- 55 1St Ave E
Turtle Lake, ND 54889 - Phone
- (701) 448-9225
- Fax
- (701) 448-9224
- NPI assigned
- Jan 28, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 23
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Alexius Medical Center
Northland Health Centers
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
- CHI St Alexius Health
- CHI St Alexius Health Turtle Lake
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.48 of 100
- Quality
- 73.03
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.91
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 |
|---|---|---|---|---|
| I20230607001327 | ND | Practitioner - Nurse Practitioner | 5597122515 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northland Health Centers | Current | Accepting new patients | |
| Northland Health Centers | Current |
Accepting new patients | |
| St. Alexius Medical Center | Current |
Accepting new patients | |
| St Alexius Medical Center | Current |
Accepting new patients | |
| Northland Health Centers | Current |
Accepting new patients | |
| Northland Health Centers | Past | Accepting new patients | |
| Fort Yates Indian Health Service Hospital | Past |
Accepting new patients |
Locations
900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300
4315 Ottawa St
Bismarck, ND 58503
Phone (402) 717-1255
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
- melissa.mcclintock.p1@direct.northlandchc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R44546 | ND | Yes |
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
Other providers in Turtle Lake, ND
- Curtis J Kroh
- Wilton Henry Kuehn Jr.
- Natasha Lucas
- Galaxy Luciano Gomez
- Mark A Malzer
- Janice Elline McIntyre
- Kylie Miller
- Northland Health Centers
- Northland Health Centers
- Juliana Chioma Nwachukwu
All providers in Turtle Lake, 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 Aug 16, 2024. 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.