Organization Active NPI

Phoenix Health Enterprises PLLC

  • Primary Care Clinic/Center
  • Bismarck, ND
National Provider Identifier
1730856253
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PHOENIX HEALTH ENTERPRISES PLLC
Practice address
705 E Main Ave
Bismarck, ND 58501-4525
Phone
(701) 502-4669
Fax
(833) 490-3699
NPI assigned
Aug 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Authorized official

Name
McKenzie Reile PetersonNPI 1922536267
Title
President
Phone
(701) 502-4669

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

705 E Main Ave
Bismarck, ND 58501-4525

Mailing address

PO Box 7433
Bismarck, ND 58507-7433
Phone (701) 502-4669

Other names 1

  • Health Now Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, ND2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220621001084 MN Part B Supplier - Clinic/Group Practice 2163829961 Receives reassigned benefits from 1 practitioner
Practice locations: Dayton, MN
O20260325003041 ND Part B Supplier - Clinic/Group Practice 2163829961 Receives reassigned benefits from 2 practitioners
Practice locations: Bismarck, ND

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
35D2235208Health Now705 E Main Ave, Bismarck, ND 58501Certificate of waiverSep 6, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1730856253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7433",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585077433",
            "telephone_number": "701-502-4669",
            "fax_number": "833-493-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E MAIN AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014525",
            "telephone_number": "701-502-4669",
            "fax_number": "833-490-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX HEALTH ENTERPRISES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-23",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "MCKENZIE",
        "authorized_official_middle_name": "REILE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-502-4669"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Now",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Health Now",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.