NPIMap

Individual provider Active NPI

Michelle Placke, MD

  • Family Medicine Physician
  • Beulah, ND
National Provider Identifier
1942648878
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
RL12857 Issued in ND
Practice address
1312 Highway 49 N
Beulah, ND 58523-6038
Phone
(701) 873-4445
Fax
(701) 873-4199
NPI assigned
Jun 13, 2013
Last updated
Dec 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X RL12857 ND Primary

Addresses

Primary practice location

1312 Highway 49 N
Beulah, ND 58523-6038

Mailing address

1312 Highway 49 N
Beulah, ND 58523-6038
Phone (701) 873-4445

Other practice location 1

725 Hamline St
Grand Forks, ND 58203-2819
Phone (701) 780-6810

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mplacke63535@direct.directaltru.org Direct

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
I20150729010066 ND Practitioner - Family Practice 8426278631 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1312 Hwy 49 N
Beulah, ND 58523-6038
Phone (701) 873-4445

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hazen Memorial Hospital Association Family Medicine Current Accepting new patients
Coal Country Community Health Center CurrentSince Aug 24, 2016 Accepting new patients
Hazen Memorial Hospital Association CurrentSince Jan 1, 2001 Accepting new patients
Hazen Memorial Hospital Association Family Medicine CurrentSince Jan 1, 2001 Accepting new patients
Coal Country Community Health Center CurrentSince Aug 24, 2016 Accepting new patients
Beulah Community Nursing Home Past Accepting new patients

Locations

1312 Highway 49 N
Beulah, ND 58523
Phone (701) 873-4445

510 8th Ave NE
Hazen, ND 58545
Phone (701) 748-2225

220 4th Ave SW
Killdeer, ND 58640
Phone (701) 764-5093

Organizations & group practices 6

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": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1942648878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 HIGHWAY 49 N",
            "city": "BEULAH",
            "state": "ND",
            "postal_code": "585236038",
            "telephone_number": "701-873-4445",
            "fax_number": "701-639-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 HIGHWAY 49 N",
            "city": "BEULAH",
            "state": "ND",
            "postal_code": "585236038",
            "telephone_number": "701-873-4445",
            "fax_number": "701-873-4199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 Hamline St",
            "address_purpose": "LOCATION",
            "city": "Grand Forks",
            "state": "ND",
            "postal_code": "582032819",
            "country_code": "US",
            "telephone_number": "701-780-6810",
            "fax_number": "701-780-6860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLACKE",
        "first_name": "MICHELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-13",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "RL12857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mplacke63535@direct.directaltru.org",
            "affiliation": "N",
            "endpointDescription": "Direct Mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1312 Highway 49 N",
            "city": "Beulah",
            "state": "ND",
            "country_code": "US",
            "postal_code": "585236038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beulah, ND

Sources for this page

Verify at the official NPI Registry.