Fae M Glass, FNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Bismarck, ND
NPI 1841498052 · NPPES record last updated Apr 6, 2023
Key facts
- NPI
- 1841498052
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- R28630 (ND)
- Practice address
- 222 N 7TH St
Bismarck, ND 58501-4436 - Phone
- (701) 323-6000
- Fax
- (701) 323-5369
- NPI assigned
- Jul 10, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
PO Box
Suite 2010
Fargo, ND 58122
PO Box
Suite 2010
Fargo, ND 58122-2154
PO Box
Suite 5074
Sioux Falls, SD 57117
Hospital & facility affiliations
- Sanford Medical Center Bismarck
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.63 of 100
- Quality
- 89.39
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.04
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R28630 | ND | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medcenter One Health Systems DME | Current | Accepting new patients | |
| Sanford Bismarck | Current | Accepting new patients | |
| Sanford Bismarck | Current |
Accepting new patients | |
| Sanford Bismarck | Current |
Accepting new patients |
Locations
3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300
222 N 7th St
Bismarck, ND 58501
Phone (701) 323-5422
300 N 7th St
Bismarck, ND 58501
Phone (701) 323-6153
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R28630 | ND | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R28630 | ND | Yes |
Addresses
Primary practice location
222 N 7TH St
Bismarck, ND 58501-4436
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-6585
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19871 | Medicaid | ND |
Other names
- Fae M Reule
Other providers in Bismarck, ND
- Jasdeep Singh Gill
- Chris Gisinger
- Christina R Gisvold
- Laura M Gitter
- Gloria Glasgow
- Heather Glass
- Jacob Glass
- Renae Glass
- Courtney Glasser
- Renae Glatt
All providers in Bismarck, ND · Psychiatric/Mental Health 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 Apr 6, 2023. 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.