Individual provider Active NPI

Stephanie Macdonald, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Mandan, ND
National Provider Identifier
1861864415
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R36302 Issued in ND
Practice address
2401 46TH Ave SE Ste 201
Mandan, ND 58554-4829
Phone
(701) 699-4052
Fax
(701) 989-7030
NPI assigned
Oct 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R36302 ND
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R36302 ND Primary

Addresses

Primary practice location

2401 46TH Ave SE Ste 201
Mandan, ND 58554-4829

Mailing address

2401 46TH Ave SE Ste 201
Mandan, ND 58554-4829
Phone (701) 699-4052

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
I20151123001977 ND Practitioner - Nurse Practitioner 4880994854 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Transitions Healthcare PLLCGroup PAC ID 1153736160, 2 clinicians

Practice addresses (Care Compare)

2401 46TH Ave SE
Suite 201
Mandan, ND 58554-4829
Phone (701) 699-4052

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Bismarck CurrentSince May 5, 2016 Accepting new patients
Sanford Bismarck CurrentSince May 5, 2016 Accepting new patients
Transitions Healthcare PLLC CurrentSince Feb 8, 2021 Accepting new patients

Locations

1312 Highway 49 N
Beulah, ND 58523
Phone (701) 873-4445

1800 E Interstate Ave
Ste B
Bismarck, ND 58503
Phone (701) 323-2941

1120 College Dr
Ste 100
Bismarck, ND 58501
Phone (701) 699-4052

414 N 7th St
Bismarck, ND 58501
Phone (701) 323-5870

3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300

2401 46th Ave SE
Ste 201
Mandan, ND 58554
Phone (701) 699-4052

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1861864415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 46TH AVE SE STE 201",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585544829",
            "telephone_number": "701-699-4052",
            "fax_number": "701-989-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 46TH AVE SE STE 201",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585544829",
            "telephone_number": "701-699-4052",
            "fax_number": "701-989-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "STEPHANIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-22",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R36302",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ND",
            "license": "R36302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandan, ND

Sources for this page

Verify at the official NPI Registry.