Active NPI
Angela Sue Dornacker-Eggl, M.D.
- Family Medicine Physician
- Bismarck, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 7325
- Practice address
- 3318 N 14TH St.
Sanford Health North Walk in Clinic
Bismarck, ND 58503 - Phone
- (701) 323-8300
- Fax
- (701) 323-8305
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 7325 | ND | Primary |
Addresses
Primary practice location
3318 N 14TH St.
Sanford Health North Walk in Clinic
Bismarck, ND 58503
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18609 | Medicaid | ND |
Other names 1
- Mrs. Angela Sue Dornacker
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of North Dakota School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3318 N 14TH St
Bismarck, ND 58503-1614
Phone (701) 323-8300
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.63 of 100
- Quality
- 89.39
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.04
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Bismarck | Current | Accepting new patients | |
| Medcenter One Health Systems DME | Current | Accepting new patients | |
| Sanford Bismarck | Family Medicine | Current | Accepting new patients |
| Sanford Bismarck | Current | Accepting new patients |
Locations
701 E Rosser Ave
Bismarck, ND 58501
Phone (701) 751-6755
3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300
102 Mandan Ave
Mandan, ND 58554
Phone (701) 667-5000
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 and National Provider Directory roles.
-
dba Family Wellness
- Multi-Specialty Clinic/Center
- Bismarck, ND
- NPI 1811941172
Family Medicine
-
- Durable Medical Equipment & Medical Supplies
- Bismarck, ND
- NPI 1629113253
-
dba Sanford Laboratory Bismarck
- Clinical Medical Laboratory
- Bismarck, ND
- NPI 1154485944
-
dba Sanford Health Occupational Medicine Clinic
- Occupational Medicine Clinic/Center
- Dickinson, ND
- NPI 1669524351
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": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733702400000",
"number": "1730109257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3318 N 14TH ST.",
"address_2": "SANFORD HEALTH NORTH WALK IN CLINIC",
"city": "BISMARCK",
"state": "ND",
"postal_code": "58503",
"telephone_number": "701-323-8300",
"fax_number": "701-323-8305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORNACKER-EGGL",
"first_name": "ANGELA",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ND",
"license": "7325",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "18609",
"state": "ND"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "DORNACKER",
"middle_name": "SUE",
"prefix": "MRS.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.