Individual provider Active NPI

Cynthia Lynn Wald, DNP-C, FNP-C

  • Family Nurse Practitioner
  • Bismarck, ND
National Provider Identifier
1912498593
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R26382 Issued in ND
Practice address
2792 E Broadway Ave
Bismarck, ND 58501-5177
Phone
(701) 221-9997
NPI assigned
May 19, 2018
Last updated
Mar 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 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 R26382 ND Primary
Family Medicine Physician 207Q00000X R26382 ND

Addresses

Primary practice location

2792 E Broadway Ave
Bismarck, ND 58501-5177

Mailing address

3614 Winnipeg Dr
Bismarck, ND 58503-0378
Phone (701) 226-4432

Other practice location 1

705 E Main Ave
Bismarck, ND 58501-4525
Phone (701) 226-4432

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
I20180910003123 ND Practitioner - Nurse Practitioner 7719237932 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
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
St Alexius Medical CenterGroup PAC ID 8426960865, 239 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

4315 Ottawa St
Bismarck, ND 58503-6175
Phone (701) 530-3500

807 E Main Ave
Suite a
Bismarck, ND 58501-4527
Phone (701) 530-3700

900 E Broadway Ave
Bismarck, ND 58501-4520
Phone (701) 530-7000

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

Merit-based Incentive Payment System (MIPS)

Final score
83.48 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R26382NDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Rediscovered P.L.L.C. CurrentSince Jan 27, 2025 Accepting new patients
St Alexius Medical Center CurrentSince Nov 12, 2018 Accepting new patients
St. Alexius Medical Center CurrentSince Nov 12, 2018 Accepting new patients
Legacy Primary Care PLLC CurrentSince Oct 1, 2024 Accepting new patients
McKenzie County Healthcare Systems Inc Family Medicine CurrentSince Feb 2, 2022 Accepting new patients
McKenzie County Healthcare Systems Inc CurrentSince Feb 2, 2022 Accepting new patients
Legacy Medical LLC CurrentSince Feb 18, 2023 Accepting new patients
Medallus & Vacharothone LTD Family Medicine CurrentSince Dec 17, 2018 Accepting new patients
Community Memorial Hospital Family Medicine Past Accepting new patients

Locations

1400 W Century Ave
Bismarck, ND 58503
Phone (701) 805-0870

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

705 E Main Ave
Bismarck, ND 58501
Phone (701) 258-9418

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

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

721 1st Ave S
Ste A
Jamestown, ND 58401
Phone (701) 368-4380

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

709 4th Ave NE
Watford City, ND 58854
Phone (701) 444-2331

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCIBCD
  • Direct secure messaging: wellnessrediscovered.cynthiawald@152360.advancedmd-direct.com

Organizations & group practices 10

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 4

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": "1526688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1912498593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3614 WINNIPEG DR",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030378",
            "telephone_number": "701-226-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2792 E BROADWAY AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585015177",
            "telephone_number": "701-221-9997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 E Main Ave",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585014525",
            "country_code": "US",
            "telephone_number": "701-226-4432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALD",
        "first_name": "CYNTHIA",
        "middle_name": "LYNN",
        "credential": "DNP-C, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-19",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R26382",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "R26382",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.