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BISMARCK CANCER CENTER
NPI 1538212162
Radiology - Radiation Oncology in Bismarck, ND

Active since January 18, 2007CLIA 35D2036569 · Waiver
500 N 8TH ST, BISMARCK, ND 58501(701) 222-6100(701) 222-6150 Get Directions Write a Review

NPPES record last updated: January 5, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bismarck Cancer Center NPPES

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

BISMARCK CANCER CENTER (NPI 1538212162) is a healthcare organization registered as a radiation oncology in Bismarck, North Dakota and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through July 18, 2027 and lists Lolita Dutton, Financial And Support Services Mana, as its authorized official.

NPPES Registry Identity

NPI1538212162
Entity TypeOrganization
Primary Taxonomy2085R0001X
Legal Business NameBISMARCK CANCER CENTER
Location Address500 N 8TH STBismarck, ND 58501-4445
Mailing Address500 N 8th StBismarck, ND 58501-4445 · (701) 222-6100 · Fax (701) 222-6150
Phone(701) 222-6100
Fax(701) 222-6150
Organization SubpartNo
Authorized OfficialLolita DuttonFinancial And Support Services Mana · (701) 222-6102
Enumeration DateJanuary 18, 2007
Last NPPES UpdateJanuary 5, 2017
✔ NPI 1538212162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
500 N 8TH ST, Bismarck, ND 58501
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Other Identifiers 12

Other24-00390ND · Medica
Medicaid11128ND
Other1558450841ND · Bcbs Of Nd
Other24-00348ND · Medica
Medicare ID-Type UnspecifiedN71029ND · Office Group Medicare
Medicaid15295ND
Medicare PINN715227ND
Other1356585293ND · Bcbs Of Nd
Medicare UPING44428ND
Medicaid14991ND
OtherP00779537Rail Road Medicare
Medicare PINN714489ND

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

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

Bismarck Cancer Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Bismarck Cancer Center, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Joon Lee, M.D.
Radiation Oncology
NPI 1396164208
500 N 8TH ST
Bismarck, ND 58501
(701) 222-6100
✔ PECOS✔ Accepts MedicareSame address
Tanner Stavn, DNP-FNP
Nurse Practitioner
NPI 1194553156
500 N 8TH ST
Bismarck, ND 58501
(701) 222-6100
✔ PECOS✔ Accepts MedicareSame address
John Watkins, M.D.
Radiation Oncology
NPI 1558450841
500 N 8TH ST
Bismarck, ND 58501
(701) 222-6100
✔ PECOS✔ Accepts MedicareSame address
Cole Kreofsky, M.D.
Radiation Oncology
NPI 1497021158
500 N 8TH ST
Bismarck, ND 58501
(701) 222-6100
✔ PECOS✔ Accepts MedicareSame address
Robert Reynolds, M.D.
Radiation Oncology
NPI 1285868968
500 N 8TH ST
Bismarck, ND 58501
(701) 222-6100
✔ PECOS✔ Accepts MedicareSame address
Barbara Hoffer, FNP-BC; NP-C
Nurse Practitioner
NPI 1700237054
900 E BROADWAY AVE
Bismarck, ND 58501
(701) 530-3106
✔ PECOS✔ Accepts Medicare0.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 35D2036569

Bismarck Cancer Center · Bismarck, ND
Active · expires Jul 18, 2027
CLIA Number35D2036569
Laboratory TypeRadiation Oncology Clinic
Certificate Effective DateJuly 19, 2025
Certificate Expiration DateJuly 18, 2027
Laboratory DirectorDr. Robert Reynolds
Laboratory Phone(701) 222-6100
Laboratory LocationBismarck Cancer Center500 N 8th St, Bismarck, ND 58501
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Bismarck Cancer Center's NPI number?

The NPI number for Bismarck Cancer Center is 1538212162. It was assigned to this organization in the NPPES registry on January 18, 2007.

Where is Bismarck Cancer Center located?

Bismarck Cancer Center is located at 500 N 8th St, Bismarck, ND 58501. The listed phone number is (701) 222-6100.

What is Bismarck Cancer Center's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Bismarck Cancer Center enrolled in Medicare?

Yes. Bismarck Cancer Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bismarck Cancer Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Bismarck Cancer Center. 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 Radiation Oncology (4) and Nurse Practitioner (2). Of these, 5 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bismarck Cancer Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D2036569) is associated with this NPI, valid through July 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bismarck Cancer Center accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Bismarck Cancer Center 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 Bismarck Cancer Center was last updated on January 5, 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.