Individual provider Active NPI

Chelsea Vollmer, FNP-C

  • Nurse Practitioner
  • Bismarck, ND
National Provider Identifier
1871154211
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R37288 Issued in ND
Practice address
4535 Northern Sky Dr Ste 1
Bismarck, ND 58503-8539
Phone
(701) 712-3000
NPI assigned
Jun 26, 2019
Last updated
Jun 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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 R37288 ND Primary

Addresses

Primary practice location

4535 Northern Sky Dr Ste 1
Bismarck, ND 58503-8539

Mailing address

PO Box 232
Surrey, ND 58785-0232

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
I20190905001406 ND Practitioner - Nurse Practitioner 9739418435 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Primary Care PLLCGroup PAC ID 5799223491, 16 clinicians
Legacy Medical LLCGroup PAC ID 0648698290, 18 clinicians

Practice addresses (Care Compare)

2100 S Columbia Rd
Suite 114
Grand Forks, ND 58201-5895
Phone (701) 516-4637

3124 Colorado LN
Apt 709
Bismarck, ND 58503-5451
Phone (701) 516-4637

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.23 of 100Reported as group
Quality
81.84
Promoting interoperability
98
Improvement activities
40
Cost
70.83

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP Nurse Practitioner CurrentSince Apr 22, 2024 Accepting new patients
Legacy Primary Care PLLC CurrentSince Sep 1, 2024 Accepting new patients
Legacy Medical LLC CurrentSince Aug 15, 2020 Accepting new patients

Locations

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

600 S 2nd St
Ste 200
Bismarck, ND 58504
Phone (701) 757-5463

2100 S Columbia Rd
Ste 114
Grand Forks, ND 58201
Phone (701) 757-2225

2801 39th Ave SE
Mandan, ND 58554
Phone (701) 663-5664

4001 Derby Ln
Rapid City, SD 57701
Phone (605) 491-2832

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCIBCD

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, 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": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1871154211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232",
            "city": "SURREY",
            "state": "ND",
            "postal_code": "587850232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535 NORTHERN SKY DR STE 1",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585038539",
            "telephone_number": "701-712-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLLMER",
        "first_name": "CHELSEA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ND",
            "license": "R37288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.