Individual provider Active NPI

Amanda Kay Dukart Beckman, FNP

  • Family Nurse Practitioner
  • Bottineau, ND
National Provider Identifier
1699407593
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R37281 Issued in ND
Practice address
314 Ohmer St
Bottineau, ND 58318-1059
Phone
(701) 228-9400
Fax
(701) 228-9398
NPI assigned
Jun 29, 2022
Last updated
Jun 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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 R37281 ND Primary

Addresses

Primary practice location

314 Ohmer St
Bottineau, ND 58318-1059

Mailing address

314 Ohmer St
Bottineau, ND 58318-1059
Phone (701) 228-9400

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
I20220913002313 ND Practitioner - Nurse Practitioner 2567847452 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Andrews HospitalGroup PAC ID 4880505999, shared by 4 NPIs, 16 clinicians

Practice addresses (Care Compare)

316 Ohmer St
Bottineau, ND 58318-1045
Phone (701) 228-9300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R37281NDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Andrew's Hospital CurrentSince Aug 16, 2022 Accepting new patients
St. Andrew's Hospital CurrentSince Aug 16, 2022 Accepting new patients
St. Andrew's Hospital Current Accepting new patients
St Andrews Hospital Current Accepting new patients

Locations

314 Ohmer St
Bottineau, ND 58318
Phone (701) 228-2212

316 Ohmer St
Bottineau, ND 58318
Phone (701) 228-9300

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.

Hospital & facility affiliations 1

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": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1699407593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 OHMER ST",
            "city": "BOTTINEAU",
            "state": "ND",
            "postal_code": "583181059",
            "telephone_number": "701-228-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 OHMER ST",
            "city": "BOTTINEAU",
            "state": "ND",
            "postal_code": "583181059",
            "telephone_number": "701-228-9400",
            "fax_number": "701-228-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKMAN",
        "first_name": "AMANDA",
        "middle_name": "KAY DUKART",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R37281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bottineau, ND

Sources for this page

Verify at the official NPI Registry.