Individual provider Active NPI

Stephanie F. Buckmier, NP-C

  • Nurse Practitioner
  • Rugby, ND
National Provider Identifier
1790779197
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R28617 Issued in ND
Practice address
2975 Highway 2 E
Rugby, ND 58368-7801
Phone
(701) 776-5455
Fax
(701) 776-7023
NPI assigned
Aug 31, 2005
Last updated
Mar 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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 R28617 ND Primary

Addresses

Primary practice location

2975 Highway 2 E
Rugby, ND 58368-7801

Mailing address

301 Roosevelt Ave
Maddock, ND 58348-7138
Phone (701) 438-2555

Other names 1

  • Stephanie F. Tweten Former name

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
I20050927000142 ND Practitioner - Nurse Practitioner 1759315906 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Good Samaritan Hospital AssociationGroup PAC ID 6002716701, shared by 8 NPIs, 24 clinicians

Practice addresses (Care Compare)

2975 Hwy 2 E
Rugby, ND 58368-7801
Phone (701) 776-5261

301 Roosevelt Ave
Maddock, ND 58348-7138
Phone (701) 438-2555

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Hospital Association CurrentSince Jul 1, 2025 Accepting new patients
Good Samaritan Hospital Association CurrentSince Jun 13, 2016 Accepting new patients
Spirit Lake Health Center Past Accepting new patients
Spirit Lake Tribe Past Accepting new patients
Clinic Pharmacy Inc Past Accepting new patients
Good Samaritan Hospital Association Past Accepting new patients
Good Samaritan Hospital Association Past Accepting new patients
Good Samaritan Hospital Association Past Accepting new patients

Locations

2975 Highway 2 E
Rugby, ND 58368
Phone (701) 776-5235

800 S Main Ave
Rugby, ND 58368
Phone (701) 776-5261

Organizations & group practices 8

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": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1790779197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 ROOSEVELT AVE",
            "city": "MADDOCK",
            "state": "ND",
            "postal_code": "583487138",
            "telephone_number": "701-438-2555",
            "fax_number": "701-438-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 HIGHWAY 2 E",
            "city": "RUGBY",
            "state": "ND",
            "postal_code": "583687801",
            "telephone_number": "701-776-5455",
            "fax_number": "701-776-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKMIER",
        "first_name": "STEPHANIE",
        "middle_name": "F.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ND",
            "license": "R28617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "TWETEN",
            "middle_name": "F.",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rugby, ND

Sources for this page

Verify at the official NPI Registry.