MS. MARY PAT HOLLER-BIBEL FNP NPI 1023075975

NPI Information

NPI: 1023075975
Provider Name: MS. MARY PAT HOLLER-BIBEL, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
718 OAK ST
GRAND FORKS, ND
ZIP 58201
Phone: (218) 230-0070
Get Directions

MS. Mary Pat Holler-bibel, FNP is a family nurse practitioner in Grand Forks, ND. MS. Mary Pat Holler-bibel, FNP NPI is 1023075975. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

718 OAK ST
GRAND FORKS, ND
ZIP 58201-460
Phone: (218) 230-0070
Fax: (800) 958-7702

The NPI 1023075975 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/26/2006 and was last updated on 6/12/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	NP1338690	MINNESOTA	No
2	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health	2010011783	MINNESOTA	No
3	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health	NUR-APRN-LIC-153741	MONTANA	No
4	363LF0000X	Nurse Practitioner	Family	R26553	NORTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PENDING	MEDICAID	OHIO
2	68D22CE	OTHER	MINNESOTA	MN BC/BS
3	HE1472284	MEDICAID	NORTH DAKOTA
4	50000686	OTHER	NORTH DAKOTA	RR MEDICARE
5	17981	OTHER	NORTH DAKOTA	ND BC/BS
6	604715700	MEDICAID	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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