TRIPLE C CLINIC PLLC
NPI 1508450099
Nurse Practitioner - Family in Minot, ND

Active since February 24, 2021
1418 S BROADWAY STE B, MINOT, ND 58701(701) 240-5170 Get Directions Write a Review

NPPES record last updated: February 24, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Triple C Clinic Pllc NPPES

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

TRIPLE C CLINIC PLLC (NPI 1508450099) is a healthcare organization registered as a family in Minot, North Dakota and active in the NPI registry since February 2021. The organization lists Susan Collins, Owner, as its authorized official.

NPPES Registry Identity

NPI1508450099
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTRIPLE C CLINIC PLLC
Location Address1418 S BROADWAY STE BMinot, ND 58701-6109
Mailing Address1418 S Broadway Ste BMinot, ND 58701-6109 · (701) 240-5170
Organization SubpartNo
Authorized OfficialSusan CollinsOwner · (701) 240-5170
Enumeration DateFebruary 24, 2021
NPPES CertifiedFebruary 24, 2021
✔ NPI 1508450099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1418 S BROADWAY STE B, Minot, ND 58701

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

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)

Triple C Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Triple C Clinic PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1235409764
1503 5TH AVE NW
Minot, ND 58703
(701) 774-7401
✔ PECOS1.7 mi

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 Triple C Clinic PLLC's NPI number?

The NPI number for Triple C Clinic PLLC is 1508450099. It was assigned to this organization in the NPPES registry on February 24, 2021.

Where is Triple C Clinic PLLC located?

Triple C Clinic PLLC is located at 1418 S Broadway Ste B, Minot, ND 58701. The listed phone number is (701) 240-5170.

What is Triple C Clinic PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Triple C Clinic PLLC enrolled in Medicare?

Yes. Triple C Clinic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Triple C Clinic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Triple C Clinic PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Triple C Clinic PLLC accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Triple C Clinic 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 Triple C Clinic PLLC was last updated on February 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.