Jean M Nygaard, RNFNP PAC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R15464 Issued in ND

Practice address

112 1St Ave NW
Crosby, ND 58730-0658

Phone

(701) 965-6349

NPI assigned

Jul 16, 2006

Last updated

Oct 22, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1942227822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX C",
            "city": "CROSBY",
            "state": "ND",
            "postal_code": "58730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 1ST AVE NW",
            "city": "CROSBY",
            "state": "ND",
            "postal_code": "587300658",
            "telephone_number": "701-965-6349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYGAARD",
        "first_name": "JEAN",
        "middle_name": "M",
        "credential": "RNFNP PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ND",
            "license": "R15464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19648",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH DAKOTA  BLUE SHIELD",
            "identifier": "4702",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Lorraine Knudsvig, ACNP-BC, FNP-BC
• Rachele Ann Krebsbach
• Rebecca Larson
• Melissa Nystuen and Jessica Watterud Counseling Services LLC
• Melissa Nystuen Counseling Services LLC
• Ashley Ann Oltman
• James Richard Pantel, PA-C
• Shelley Lynn Marie Power
• Samantha Pulvermacher
• Daniel William Ritzheimer

• Nurse Practitioner in Crosby, ND
• Providers in Crosby, ND by specialty
• Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.