Individual provider Active NPI

Madison Kirsch, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bismarck, ND
National Provider Identifier
1871219923
Registry record updated Nov 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R46045 Issued in ND
Practice address
425 E Avenue C
Bismarck, ND 58501-3942
Phone
(701) 712-9962
Fax
(701) 354-2219
NPI assigned
Oct 19, 2022
Last updated
Nov 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R46045 ND Primary

Addresses

Primary practice location

425 E Avenue C
Bismarck, ND 58501-3942

Mailing address

425 E Avenue C
Bismarck, ND 58501-3942
Phone (701) 712-9962

Other practice location 1

4820 Windsor St
Bismarck, ND 58503-6161
Phone (701) 258-3780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R46045NDMDPsychiatric/Mental Health Nurse Practitioner

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23124/brand/1/csg/1/fhir/r4
  • Direct secure messaging: madison.kirsch@322273291730948.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669507200000",
    "number": "1871219923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E AVENUE C",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585013942",
            "telephone_number": "701-712-9962",
            "fax_number": "701-354-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E AVENUE C",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585013942",
            "telephone_number": "701-712-9962",
            "fax_number": "701-354-2219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4820 Windsor St",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585036161",
            "country_code": "US",
            "telephone_number": "701-258-3780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRSCH",
        "first_name": "MADISON",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-11-27",
        "certification_date": "2022-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ND",
            "license": "R46045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.