Brandi L Clark, APRN,CNP - Medicare Nurse Practitioner in Bismarck, ND

Brandi L Clark, APRN,CNP is a medicare enrolled "Nurse Practitioner - Family" in Bismarck, North Dakota. Her current practice location is 2700 State St, Bismarck, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 712-4500.

Brandi L Clark is licensed to practice in North Dakota (license number R45842) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043087570.

Contact Information

Brandi L Clark, APRN,CNP
2700 State St,
Bismarck, ND 58503-0669
(701) 712-4500
Not Available



Provider's Profile

Full NameBrandi L Clark
GenderFemale
SpecialityNurse Practitioner - Family
Location2700 State St, Bismarck, North Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043087570
  • Provider Enumeration Date: 12/05/2023
  • Last Update Date: 12/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0840641379
  • Enrollment ID: I20240109004778

Medical Identifiers

Medical identifiers for Brandi L Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043087570NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R45842 (North Dakota)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brandi L Clark allows following entities to bill medicare on her behalf.
Entity NameInnovis Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215125463
PECOS PAC ID: 9931298155
Enrollment ID: O20071211000158

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brandi L Clark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brandi L Clark, APRN,CNP
1702 University Dr S,
Fargo, ND 58103-4940

Ph: () -
Brandi L Clark, APRN,CNP
2700 State St,
Bismarck, ND 58503-0669

Ph: (701) 712-4500

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Nurse Practitioner Nurses in Bismarck, ND

Sarah Miller,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 222 N 7th St, Bismarck, ND 58501
Phone: 701-323-5422    Fax: 701-323-8645
Danette Pengilly, GNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 310 N 10th St, Bismarck, ND 58501
Phone: 701-530-7500    Fax: 701-530-7484
Jana Rakowski, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1040 Tacoma Ave, Bismarck, ND 58504
Phone: 701-323-7452    Fax: 701-323-6982
Mrs. Christina R Gisvold, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 300 N 7th St, Bismarck, ND 58501
Phone: 701-323-6000    
Lee Ann June Short, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 300 N 7th St, Bismarck, ND 58501
Phone: 701-204-1709    
Rebecca L Ritter, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1000 E Rosser Ave, Bismarck, ND 58501
Phone: 701-530-6000    Fax: 701-530-6430
Cheryle K Bitz, MSN, ARNP, GNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 900 E Broadway Ave, Bismarck, ND 58501
Phone: 701-530-7300    Fax: 701-530-7319

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