NPIMap

Individual provider Active NPI

Samuel Phillip Held, FNP

  • Family Nurse Practitioner
  • Cando, ND
National Provider Identifier
1740575000
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R33220 Issued in ND
Practice address
Hwy 281 N
Cando, ND 58324-0688
Phone
(701) 968-4411
NPI assigned
Jun 15, 2011
Last updated
Jun 11, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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 R33220 ND Primary

Addresses

Primary practice location

Hwy 281 N
Cando, ND 58324-0688

Mailing address

Hwy 281 N
Cando, ND 58324-0688
Phone (701) 968-4411

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
I20120808000524 ND Practitioner - Nurse Practitioner 4880840750 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Towner County Medical Center IncGroup PAC ID 6800798497, shared by 4 NPIs, 12 clinicians

Practice addresses (Care Compare)

228 1St Ave
Cando, ND 58324-7500
Phone (701) 968-2541

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Towner County Medical Center Inc CurrentSince Aug 5, 2013 Accepting new patients
Towner County Medical Center Inc Current Accepting new patients
Cooperstown Medical Center CurrentSince Aug 1, 2017 Accepting new patients
Cooperstown Medical Center CurrentSince Aug 1, 2017 Accepting new patients
Presentation Medical Center Past Accepting new patients

Locations

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

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

Organizations & group practices 5

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": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1740575000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HWY 281 N",
            "city": "CANDO",
            "state": "ND",
            "postal_code": "583240688",
            "telephone_number": "701-968-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY 281 N",
            "city": "CANDO",
            "state": "ND",
            "postal_code": "583240688",
            "telephone_number": "701-968-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELD",
        "first_name": "SAMUEL",
        "middle_name": "PHILLIP",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-15",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R33220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cando, ND

Sources for this page

Verify at the official NPI Registry.