CANNONBALL CLINIC
NPI 1336286798
Clinic/Center - Public Health, Federal in Cannonball, ND
About Cannonball Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CANNONBALL CLINIC (NPI 1336286798) is a healthcare organization registered as a public health, federal in Cannonball, North Dakota and active in the NPI registry since February 2007. The organization lists Jana Rhea Gipp, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cannonball Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
71Medicare enrollment records show 71 clinicians reassign Medicare billing to Cannonball Clinic, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 16
Nearest to this location (20)
See all 71Forst Sam Houston, TX 78234
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Fort Yates Indian Health Service Hospital's NPI number?
The NPI number for Fort Yates Indian Health Service Hospital is 1336286798. It was assigned to this organization in the NPPES registry on February 1, 2007. The provider is doing business as Cannonball Clinic.
Where is Fort Yates Indian Health Service Hospital located?
Fort Yates Indian Health Service Hospital is located at 6998 Weasel Street, Cannonball, ND 58528. The listed phone number is (701) 854-3831.
What is Fort Yates Indian Health Service Hospital's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Public Health, Federal, with taxonomy code 261QP0904X.
Is Fort Yates Indian Health Service Hospital enrolled in Medicare?
Yes. Fort Yates Indian Health Service Hospital is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fort Yates Indian Health Service Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 71 clinicians in 16 Medicare specialties reassign their Medicare billing to Fort Yates Indian Health Service Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (28), Nurse Practitioner (11) and Family Practice (10). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Fort Yates Indian Health Service Hospital accept?
Health plans from Blue Cross Blue Shield of North Dakota list Fort Yates Indian Health Service Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Fort Yates Indian Health Service Hospital was last updated on August 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.
# Cannonball Clinic · NPI 1336286798
Public Health, Federal organization in Cannonball, North Dakota. Organization record, active in the CMS NPPES registry since February 1, 2007.
## Identity
- **NPI:** 1336286798 (Entity type: Organization)
- **Enumerated:** February 1, 2007
- **Primary specialty:** Clinic/Center - Public Health, Federal · taxonomy 261QP0904X
- **Legal business name:** Fort Yates Indian Health Service Hospital
- **Organization subpart:** Yes (part of Fort Yates Indian Health Service Hospital)
- **Authorized official:** Jana Gipp, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 6998 WEASEL STREET, Cannonball, ND 58528
- **Phone:** (701) 854-3831 · **Fax:** (701) 854-7411
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 71 clinicians in 16 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (28), Nurse Practitioner (11), Family Practice (10); [full list](https://npiprofile.com/npi/1336286798/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 9, 2018
- **Other identifiers:** Medicaid 1459056 (ND)
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Source: [NPI Profile](https://npiprofile.com/npi/1336286798) · Data from the CMS NPPES public registry.