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ADVANCED CARE CLINIC
NPI 1003752262
Nurse Practitioner in Dickinson, ND

Active since April 28, 2026CLIA 35D2342927 · Waiver
682 18TH AVE E STE A, DICKINSON, ND 58601(701) 590-2549 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Advanced Care Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED CARE CLINIC (NPI 1003752262) is a healthcare organization registered as a nurse practitioner in Dickinson, North Dakota and active in the NPI registry since April 2026. The organization holds a CLIA Waiver certificate valid through April 28, 2028 and lists Crystal Jean Sullivan, Owner/nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1003752262
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameADVANCED CARE CLINIC
Location Address682 18TH AVE E STE ADickinson, ND 58601-6320
Mailing Address682 18th Ave E Ste ADickinson, ND 58601-6320 · (701) 590-2549
Phone(701) 590-2549
Organization SubpartNo
Authorized OfficialCrystal Jean SullivanOwner/nurse Practitioner · (701) 590-2549
Enumeration DateApril 28, 2026
NPPES CertifiedApril 7, 2026
✔ NPI 1003752262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
682 18TH AVE E STE A, Dickinson, ND 58601
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 35D2342927

Advanced Care Clinic, PLLC · Dickinson, ND
Active · expires Apr 28, 2028
CLIA Number35D2342927
Laboratory TypeCommunity Clinic
Certificate Effective DateApril 29, 2026
Certificate Expiration DateApril 28, 2028
Laboratory DirectorCrystal J. Sullivan
Laboratory Phone(701) 590-2549
Laboratory LocationAdvanced Care Clinic, PLLC682 18th Ave E Suite A, Dickinson, ND 58601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CRYSTAL JEAN SULLIVAN FNP
Nurse Practitioner (Family)
682 18TH AVE E STE A
DICKINSON, ND 58601
Stark County (701) 829-3396
ADVANCED CARE CLINIC
Nurse Practitioner (Family)
682 18TH AVE E STE A
DICKINSON, ND 58601
Stark County (701) 590-2549

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Care Clinic's NPI number?

The NPI number for Advanced Care Clinic is 1003752262. It was assigned to this organization in the NPPES registry on April 28, 2026.

Where is Advanced Care Clinic located?

Advanced Care Clinic is located at 682 18th Ave E Ste A, Dickinson, ND 58601. The listed phone number is (701) 590-2549.

What is Advanced Care Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Advanced Care Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D2342927) is associated with this NPI, valid through April 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advanced Care Clinic was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.