Organization Active NPI

Transitions Healthcare PLLC

  • Clinic/Center
  • Mandan, ND
National Provider Identifier
1992304695
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
TRANSITIONS HEALTHCARE PLLC
Practice address
2401 46TH Ave SE Ste 201
Mandan, ND 58554-4829
Phone
(701) 699-4052
Fax
(701) 989-7030
NPI assigned
Oct 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Authorized official

Name
Stephanie MacdonaldNPI 1861864415
Title
President
Phone
(701) 699-4052

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

2401 46TH Ave SE Ste 201
Mandan, ND 58554-4829

Mailing address

2401 46TH Ave SE Ste 201
Mandan, ND 58554-4829
Phone (701) 699-4052

Other names 1

  • Transitions Healthcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210224000705 ND Part B Supplier - Clinic/Group Practice 1153736160 Receives reassigned benefits from 2 practitioners
Practice locations: Mandan, ND

National Provider Directory

National Provider Directory

Locations

2401 46th Ave SE
Ste 201
Mandan, ND 58554
Phone (701) 699-4052

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1992304695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 46TH AVE SE STE 201",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585544829",
            "telephone_number": "701-699-4052",
            "fax_number": "701-989-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 46TH AVE SE STE 201",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585544829",
            "telephone_number": "701-699-4052",
            "fax_number": "701-989-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSITIONS HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "MACDONALD",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-699-4052"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Transitions Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mandan, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.