NPIMap

Individual provider Active NPI

Tessa Marburger, M.D.

  • Neurology Physician
  • Williston, ND
National Provider Identifier
1942476825
Registry record updated Jun 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
13818 Issued in ND
Practice address
1500 14TH St W Ste 300
Williston, ND 58801-4079
Phone
(701) 774-7500
NPI assigned
May 1, 2008
Last updated
Jun 23, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD154672 OR
Neurology Physician 2084N0400X 13818 ND Primary
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X 13818 ND

Addresses

Primary practice location

1500 14TH St W Ste 300
Williston, ND 58801-4079

Mailing address

1500 14TH St W Ste 300
Williston, ND 58801-4079
Phone (701) 774-7500

Other identifiers 1

IdentifierTypeStateIssuer
1465176MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151009000987 ND Practitioner - Neurology 6103095989 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Michigan Medical School, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Medical CenterGroup PAC ID 7416851381, 78 clinicians
St Alexius Medical CenterGroup PAC ID 8426960865, 239 clinicians

Practice addresses (Care Compare)

1500 14TH St W
Suite 300
Williston, ND 58801-4079
Phone (701) 774-7500

2500 Sunset Dr
Mandan, ND 58554-1540
Phone (701) 667-4600

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

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St Alexius Medical Center CurrentSince Oct 19, 2015 Accepting new patients
St. Alexius Medical Center CurrentSince Oct 19, 2015 Accepting new patients
Mercy Medical Center CurrentSince Sep 1, 2015 Accepting new patients
Mercy Medical Center Current Accepting new patients
Mercy Home Care CurrentSince Sep 1, 2015 Accepting new patients
Mercy Medical Center Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

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

1213 15th Ave W
Williston, ND 58801
Phone (701) 572-7641

1301 15th Ave W
Williston, ND 58801
Phone (701) 774-7400

1500 14th St W
Ste 300
Williston, ND 58801
Phone (701) 774-7082

Ownership & related parties

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
CHI St Alexius Health CarringtonCarrington, ND, CCN 351318 Hospital Corporate Director Jan 1, 2019
CHI St Alexius Health CarringtonCarrington, ND, CCN 35Z318 Hospital Corporate Director Jan 23, 2020
CHI St Alexius Health Devils LakeDevils Lake, ND, CCN 351333 Hospital Corporate Director Jan 1, 2019
CHI St Alexius Health Devils LakeDevils Lake, ND, CCN 35Z333 Hospital Corporate Director Oct 26, 2016
CHI St Alexius Health WillistonWilliston, ND, CCN 351334 Hospital Corporate Officer Oct 26, 2016
CHI St Alexius Health DickinsonDickinson, ND, CCN 351336 Hospital Corporate Director Oct 26, 2016
CHI St Alexius Health Carrington Medical Clinic and Urgent CareCarrington, ND, CCN 353995 Rural health clinic Corporate Director Oct 26, 2016
CHI St Alexius Health Carrington Family ClinicNew Rockford, ND, CCN 353997 Rural health clinic Corporate Director Oct 26, 2016
CHI St Alexius Beach Family ClinicBeach, ND, CCN 353985 Rural health clinic Corporate Director Oct 26, 2016

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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 5

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": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498176000000",
    "number": "1942476825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 14TH ST W STE 300",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588014079",
            "telephone_number": "701-774-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 14TH ST W STE 300",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588014079",
            "telephone_number": "701-774-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARBURGER",
        "first_name": "TESSA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2017-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "MD154672",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "ND",
            "license": "13818",
            "primary": true
        },
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "ND",
            "license": "13818",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1465176",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, ND

Sources for this page

Verify at the official NPI Registry.