NPIMap

Individual provider Active NPI

Richard Joseph Macker, FNP-C

  • Nurse Practitioner
  • Carrington, ND
National Provider Identifier
1679279798
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R48358 Issued in ND
Practice address
800 4TH St N
Carrington, ND 58421-1217
Phone
(701) 652-7137
NPI assigned
Jan 31, 2023
Last updated
Jan 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R48358 ND Primary

Addresses

Primary practice location

800 4TH St N
Carrington, ND 58421-1217

Mailing address

1446 4TH St N
Carrington, ND 58421-1032
Phone (810) 304-2089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230215002270 ND Practitioner - Nurse Practitioner 9931571155 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of North Dakota School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooperstown Medical CenterGroup PAC ID 5698687689, 13 clinicians
Carrington Health CenterGroup PAC ID 0547177552, shared by 4 NPIs, 12 clinicians

Practice addresses (Care Compare)

107 12TH St S
Cooperstown, ND 58425-4501
Phone (701) 786-1700

820 N 5TH St
Carrington, ND 58421-1223
Phone (701) 652-2515

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R48358NDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital of Devils Lake CurrentSince Jan 24, 2024 Accepting new patients
Carrington Health Center Current Accepting new patients
Carrington Health Center Current Accepting new patients
Carrington Health Center CurrentSince Feb 13, 2023 Accepting new patients
Mercy Hospital of Devils Lake Current Accepting new patients
Mercy Hospital of Devils Lake Current Accepting new patients
Carrington Health Center CurrentSince Feb 13, 2023 Accepting new patients
Cooperstown Medical Center CurrentSince Mar 3, 2025 Accepting new patients
Cooperstown Medical Center CurrentSince Mar 3, 2025 Accepting new patients

Locations

3290 Solutions Ctr
Chicago, IL 60677

7776 Solutions Ctr
Chicago, IL 60677

800 4th St N
Carrington, ND 58421
Phone (701) 652-3141

820 5th St N
Carrington, ND 58421
Phone (701) 399-0123

107 12th St S
Cooperstown, ND 58425
Phone (701) 786-1700

1200 Roberts Ave NE
Cooperstown, ND 58425
Phone (701) 797-2128

1031 7th St NE
Devils Lake, ND 58301
Phone (701) 662-2131

Organizations & group practices 9

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 8

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": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1679279798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1446 4TH ST N",
            "city": "CARRINGTON",
            "state": "ND",
            "postal_code": "584211032",
            "telephone_number": "810-304-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 4TH ST N",
            "city": "CARRINGTON",
            "state": "ND",
            "postal_code": "584211217",
            "telephone_number": "701-652-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKER",
        "first_name": "RICHARD",
        "middle_name": "JOSEPH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ND",
            "license": "R48358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrington, ND

Sources for this page

Verify at the official NPI Registry.