Michelle D Maier, NP
Individual provider Active NPI Family Nurse Practitioner · Bismarck, ND
NPI 1831243005 · NPPES record last updated Feb 13, 2020
Key facts
- NPI
- 1831243005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R25866 (ND)
- Practice address
- 1140 W Capitol Ave
Bismarck, ND 58501-1306 - Phone
- (701) 751-7244
- Fax
- (701) 751-7247
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Embrace Wellness PLLC
Practice addresses (Care Compare)
1140 W Capitol Ave
Bismarck, ND 58501-1306
Phone (701) 751-7244
Hospital & facility affiliations
- CHI St Alexius Health
- Sanford Medical Center Bismarck
- Sakakawea Medical Center - Cah
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041221000864 | ND | Practitioner - Nurse Practitioner | 9032102470 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0359 | SD | MD | Occupational Therapist |
| R25866 | ND | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Embrace Wellness PLLC | Current |
Accepting new patients | |
| Avera Queen of Peace | Past | Accepting new patients | |
| Regional Medical Center PC | Past | Accepting new patients | |
| Dakota Family Practice | Past | Accepting new patients | |
| Berger Chiropractic and Acupuncture | Past |
Accepting new patients |
Locations
3123 N 14th St
Bismarck, ND 58503
Phone (701) 751-3070
1140 W Capitol Ave
Bismarck, ND 58501
Phone (701) 258-7220
Interoperability endpoints
- https://api.platform.athenahealth.com/25912/brand/1/csg/1/fhir/r4
- michelle.maier.1@25912.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R25866 | ND | Yes |
Addresses
Primary practice location
1140 W Capitol Ave
Bismarck, ND 58501-1306
Mailing address
1140 W Capitol Ave
Bismarck, ND 58501-1306
Phone (701) 751-7244
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19779 | Medicaid | ND | |
| P00444952 | Other | ND | RAILROAD MEDICARE |
Other providers in Bismarck, ND
- Jacquelyn Mahoney
- Nicholas C Mahr
- Sarah Anne Mahrer
- Le Bao Khanh Mai
- Austin Maier
- Tami M Mainey
- Kristen Mains
- Marisa Makuve-Sawyer
- Bryan Malaran
- Maysil M Malard
All providers in Bismarck, ND · Family Nurse Practitioner in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.