Mid Dakota Clinic, Inc. - Medicare Primary Care in Bismarck, ND

Mid Dakota Clinic, Inc. is a medicare enrolled primary clinic (Clinic/center) in Bismarck, North Dakota. The current practice location for Mid Dakota Clinic, Inc. is 401 N 9th St, Bismarck, North Dakota. For appointments, you can reach them via phone at (701) 712-4500. The mailing address for Mid Dakota Clinic, Inc. is 401 N 9th St, Bismarck, North Dakota and phone number is (701) 712-4500.

Mid Dakota Clinic, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1275587826. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (701) 712-4500.

Contact Information

Mid Dakota Clinic, Inc.
401 N 9th St
Bismarck
ND 58501-4507
(701) 712-4500
(701) 712-4011

Map and Direction


Primary Care Clinic Profile

Full NameMid Dakota Clinic, Inc.
SpecialityClinic/Center
Location401 N 9th St, Bismarck, North Dakota
Authorized Official Name and PositionWilliam Heegaard (PRESIDENT)
Authorized Official Contact7013644554
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mid Dakota Clinic, Inc.
401 N 9th St
Bismarck
ND 58501-4507

Ph: (701) 712-4500
Mid Dakota Clinic, Inc.
401 N 9th St
Bismarck
ND 58501-4507

Ph: (701) 712-4500

NPI Details:

NPI Number1275587826
Provider Enumeration Date05/19/2006
Last Update Date10/25/2022

Medicare PECOS Information:

Medicare PECOS PAC ID9638072895
Medicare Enrollment IDO20040127001063

Medical Identifiers

Medical identifiers for Mid Dakota Clinic, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275587826NPI-NPPES
11238MedicaidND

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mid Dakota Clinic, Inc. acts as a billing entity for following providers:
Provider NameJohn D Botsford
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639125321
PECOS PAC ID: 4880599604
Enrollment ID: I20031210000682
Provider NameDavid Mathison
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295847861
PECOS PAC ID: 8921905241
Enrollment ID: I20031216000077
Provider NameJeremiah J Penn
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1043237522
PECOS PAC ID: 3375445778
Enrollment ID: I20040126000353
Provider NameFerdinand Addo
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1760461388
PECOS PAC ID: 8921992918
Enrollment ID: I20040211000112
Provider NameBetty Kemper
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1033155205
PECOS PAC ID: 3779478706
Enrollment ID: I20040218000922
Provider NameRobert Tanous
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1174550180
PECOS PAC ID: 8022094143
Enrollment ID: I20040628001485
Provider NameJay Steckler
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1083634521
PECOS PAC ID: 4880665561
Enrollment ID: I20040805000018
Provider NameJoseph M Ebertz
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1649224809
PECOS PAC ID: 0547163156
Enrollment ID: I20041216000661
Provider NameGaylord J Kavlie
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1760437198
PECOS PAC ID: 9537127923
Enrollment ID: I20050103000240
Provider NameDonald H Grenz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1699720995
PECOS PAC ID: 6901840768
Enrollment ID: I20050614000215
Provider NameSteven Kendall Hamar
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1063469336
PECOS PAC ID: 0749268134
Enrollment ID: I20050615000065
Provider NameBernadette A Kraft
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1366484727
PECOS PAC ID: 5597791533
Enrollment ID: I20050712000358
Provider NameKhalid Naseer
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1851341366
PECOS PAC ID: 9335177047
Enrollment ID: I20050802001276
Provider NameJerry R Town
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1841343191
PECOS PAC ID: 6103847926
Enrollment ID: I20051208000379
Provider NameRalph Dunnigan
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1932151586
PECOS PAC ID: 2668483876
Enrollment ID: I20060531000109
Provider NameBrian J Hebert
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235177577
PECOS PAC ID: 2668475468
Enrollment ID: I20060817000045
Provider NameJulia M Schwartz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134168685
PECOS PAC ID: 5193728996
Enrollment ID: I20060817000059
Provider NameShelly A Seifert
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1245286764
PECOS PAC ID: 7618971540
Enrollment ID: I20060908000036
Provider NameHeather A Freitag
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1063457000
PECOS PAC ID: 3870598097
Enrollment ID: I20060921000641
Provider NameGordon D Leingang
Provider TypePractitioner - Other (physician)
Provider IdentifiersNPI Number: 1538187125
PECOS PAC ID: 6305812793
Enrollment ID: I20061102000044
Provider NameTheresa A Borrowman
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1083694269
PECOS PAC ID: 2860490646
Enrollment ID: I20061110000406
Provider NameKevin Longie
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1326176223
PECOS PAC ID: 1254427404
Enrollment ID: I20071018000564
Provider NameKelly B Longie
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1427182823
PECOS PAC ID: 7113013376
Enrollment ID: I20071018000686
Provider NameJessica A Lervick
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1184801045
PECOS PAC ID: 4587692116
Enrollment ID: I20080401000783
Provider NameSteven Yearsley
Provider TypePractitioner - Plastic And Reconstructive Surgery
Provider IdentifiersNPI Number: 1720131451
PECOS PAC ID: 0143252965
Enrollment ID: I20081217000041
Provider NameCarmen Repnow
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1568616670
PECOS PAC ID: 1052474962
Enrollment ID: I20090120000152
Provider NameNicole Olson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1346478500
PECOS PAC ID: 4082767934
Enrollment ID: I20090724000720
Provider NameMarissa A Wisdom
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1972713337
PECOS PAC ID: 5395891683
Enrollment ID: I20090929000443
Provider NameMelissa Ulberg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457583460
PECOS PAC ID: 6305982604
Enrollment ID: I20090929000646
Provider NameCathy A Deics
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1922271501
PECOS PAC ID: 9638201486
Enrollment ID: I20100714001071
Provider NameKaren L Jacobus
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1649583006
PECOS PAC ID: 8022134030
Enrollment ID: I20100928000480
Provider NameMark A Erickstad
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1700824984
PECOS PAC ID: 5193917169
Enrollment ID: I20101008000389
Provider NameJason Moe
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1396763975
PECOS PAC ID: 5294928941
Enrollment ID: I20101026000776
Provider NameKristie A Toman
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1548452733
PECOS PAC ID: 4789749938
Enrollment ID: I20101115000869
Provider NameJerry M Obritsch
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1093769291
PECOS PAC ID: 7719902170
Enrollment ID: I20101207000164
Provider NameSteven J Scherr
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083654792
PECOS PAC ID: 9739378803
Enrollment ID: I20110105001275
Provider NameDouglas L Moen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477506137
PECOS PAC ID: 7012106826
Enrollment ID: I20110110000749
Provider NameJohn Erickstad
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457399644
PECOS PAC ID: 3173702289
Enrollment ID: I20110121000224
Provider NameLaura M Fuerstenberg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619912326
PECOS PAC ID: 4981872843
Enrollment ID: I20110719000816
Provider NameKevin P Chaussee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962424440
PECOS PAC ID: 9537339221
Enrollment ID: I20110907001590
Provider NameStephanie A Traxinger
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1366608465
PECOS PAC ID: 4082885710
Enrollment ID: I20110928000838
Provider NameAmy Juelson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1912032970
PECOS PAC ID: 4789850074
Enrollment ID: I20120109000648
Provider NamePaul Jondahl
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780638981
PECOS PAC ID: 7214194935
Enrollment ID: I20120208000762
Provider NameLori Smith
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1548297302
PECOS PAC ID: 9739346453
Enrollment ID: I20120208000802
Provider NameTraci L Craigmile
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891062089
PECOS PAC ID: 6608034087
Enrollment ID: I20120215000490
Provider NameMegan Strand
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1841447166
PECOS PAC ID: 5496903965
Enrollment ID: I20120907000574
Provider NameJill Steinle
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1437314473
PECOS PAC ID: 8123276466
Enrollment ID: I20120912000192
Provider NameJenna L Ficek
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1871830422
PECOS PAC ID: 4789839812
Enrollment ID: I20130221000272
Provider NameAndrew J Wilder
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1275607509
PECOS PAC ID: 9234326745
Enrollment ID: I20130830000370
Provider NameStephanie Delvo
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1336377357
PECOS PAC ID: 6002044278
Enrollment ID: I20140115000340
Provider NameMatthew Hamar
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1154618130
PECOS PAC ID: 2163646464
Enrollment ID: I20140606000163
Provider NameJean M Gustafson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1437445442
PECOS PAC ID: 8022236892
Enrollment ID: I20140820002441
Provider NameEric Lutzwick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568877827
PECOS PAC ID: 6608094768
Enrollment ID: I20140902002236
Provider NameRyan M Clauson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629230081
PECOS PAC ID: 8325260490
Enrollment ID: I20141230001991
Provider NameAlexis K Witt
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1033515788
PECOS PAC ID: 2062727951
Enrollment ID: I20150821012890
Provider NameAmandu Schmitcke
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1487948832
PECOS PAC ID: 7517274061
Enrollment ID: I20150915002959
Provider NameAndrew D Knudsen
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1407111321
PECOS PAC ID: 7911126149
Enrollment ID: I20150919000194
Provider NameJenny Schmidt
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1902257454
PECOS PAC ID: 0941594063
Enrollment ID: I20160811001263
Provider NameAmanda L Levey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316488083
PECOS PAC ID: 1658657291
Enrollment ID: I20170413000794
Provider NameAshley Elizabeth Pierson
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1447493135
PECOS PAC ID: 0244460152
Enrollment ID: I20170815003366
Provider NameHeather Sandness-nelson
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1265872212
PECOS PAC ID: 8527332386
Enrollment ID: I20170919000278
Provider NameWalter Moore
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1326021841
PECOS PAC ID: 9335182245
Enrollment ID: I20180122002122
Provider NameTeresa Morris Seefeld
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1033260146
PECOS PAC ID: 8022379221
Enrollment ID: I20180305001073
Provider NameKristy L Schuh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639101959
PECOS PAC ID: 4587665872
Enrollment ID: I20180807000855
Provider NameLaura E Knutson
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1174941264
PECOS PAC ID: 3779855382
Enrollment ID: I20181023002146
Provider NameAbby R Renner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023583101
PECOS PAC ID: 4183969348
Enrollment ID: I20181218000299
Provider NameJennifer A Westmoreland
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1942352679
PECOS PAC ID: 8921994179
Enrollment ID: I20190213003319
Provider NameTaylor L Jenner
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1912244898
PECOS PAC ID: 9931344108
Enrollment ID: I20190923000795
Provider NameKayla M Cofer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023649860
PECOS PAC ID: 9234566647
Enrollment ID: I20200225001433
Provider NameRachel M Marohl
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1023469715
PECOS PAC ID: 2466745369
Enrollment ID: I20200828002708
Provider NameStephanie L Jensen
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1346856002
PECOS PAC ID: 1850711870
Enrollment ID: I20201013002308
Provider NameApril Kautzman
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1982209300
PECOS PAC ID: 5890104533
Enrollment ID: I20210508000015
Provider NameJacquelyn K Haugen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558022962
PECOS PAC ID: 7911392394
Enrollment ID: I20220322000961
Provider NameJeanie M Larson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881347995
PECOS PAC ID: 4082009360
Enrollment ID: I20220323002418
Provider NameKayla V Holzer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649901869
PECOS PAC ID: 8820470602
Enrollment ID: I20220727001754

Reviews and Comments


Clinic/Center in Bismarck, ND

Lung Disease And Infection Consultants
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 210 S 12th St, Bismarck, ND 58504
Phone: 701-223-4234    Fax: 701-222-0712
Prairie Assisted Living Services Llc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 4914 Amberglow Dr, Bismarck, ND 58503
Phone: 701-226-9804    Fax: 701-751-1307
Inspired Life Wellness Clinic, Pllc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 3100 Moonstone Ln, Bismarck, ND 58503
Phone: 701-989-4354    Fax: 701-213-4335
Essentia Health Mid Dakota Bismarck 9th St Clinic
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 401 N 9th St, Bismarck, ND 58501
Phone: 701-712-4500    
Wellness Rediscovered P.l.l.c.
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 705 E Main Ave, Bismarck, ND 58501
Phone: 701-269-9455    
Tru Health & Wellness Pllc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 705 E Main Ave, Bismarck, ND 58501
Phone: 701-226-4432    
Lifeways
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1001 Gateway Avenue, Bismarck, ND 58503
Phone: 701-751-3271    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.