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FOUR SEASONS WELLNESS, PLLC
NPI 1366992323
Clinic/Center in Steele, ND

Active since October 13, 2016CLIA 35D2123268 · Waiver
110 W BROADWAY, STEELE, ND 58482(701) 475-4488(701) 540-6379 Get Directions Write a Review

NPPES record last updated: February 1, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 1, 2017, Dec 28, 2016, Oct 13, 2016 (3 updates tracked since 2016).

About Four Seasons Wellness, Pllc NPPES

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

FOUR SEASONS WELLNESS, PLLC (NPI 1366992323) is a healthcare organization registered as a clinic/center in Steele, North Dakota and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through December 14, 2026 and lists Mandy Kaye Rath, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1366992323
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameFOUR SEASONS WELLNESS, PLLC
Location Address110 W BROADWAYSteele, ND 58482-7109
Mailing Address110 W Broadway, Po Box 397Steele, ND 58482-7109 · (701) 475-4488 · Fax (701) 540-6379
Phone(701) 475-4488
Fax(701) 540-6379
Organization SubpartNo
Authorized OfficialMandy Kaye RathFamily Nurse Practitioner · (701) 475-4488
Enumeration DateOctober 13, 2016
Last NPPES UpdateFebruary 1, 20173 updates tracked since enumeration
✔ NPI 1366992323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in ND · R28545
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
110 W BROADWAY, Steele, ND 58482
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Other Identifiers 1

Medicaid1386964138ND

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan.Insurance ›

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 35D2123268

Four Seasons Wellness, PLLC · Steele, ND
Active · expires Dec 14, 2026
CLIA Number35D2123268
Laboratory TypePractitioner Other
Certificate Effective DateDecember 15, 2024
Certificate Expiration DateDecember 14, 2026
Laboratory DirectorMandi J. Mock
Laboratory Phone(701) 475-4488
Laboratory LocationFour Seasons Wellness, PLLC110 W Broadway, Steele, ND 58482
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.

MANDY KAYE RATH FNP, MSN, BSN
Nurse Practitioner (Family)
110 W BROADWAY, BOX 54
STEELE, ND 58482
Kidder County (701) 475-2910
KIDDER COUNTY PRIMARY HEALTHCARE CORPORATION
Clinic/Center (Rural Health)
110 W BROADWAY
STEELE, ND 58482
Kidder County (701) 475-2910

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 Four Seasons Wellness, PLLC's NPI number?

The NPI number for Four Seasons Wellness, PLLC is 1366992323. It was assigned to this organization in the NPPES registry on October 13, 2016.

Where is Four Seasons Wellness, PLLC located?

Four Seasons Wellness, PLLC is located at 110 W Broadway, Steele, ND 58482. The listed phone number is (701) 475-4488.

What is Four Seasons Wellness, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Four Seasons Wellness, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D2123268) is associated with this NPI, valid through December 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Four Seasons Wellness, PLLC accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Four Seasons Wellness, PLLC 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 Four Seasons Wellness, PLLC was last updated on February 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.