Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carissa R Cornell, NP

Individual provider Nurse Practitioner · NPI 1629323605

Carissa R Cornell, NP is a Nurse Practitioner in Bismarck, North Dakota. Qualified in 2012, 14 years ago. Practices with Ideal Telemedicine Services LLC, a 51-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Dakota.

Years since qualifying
14
Licensed in
ND
In the registry since
2012
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1221 W Divide Ave Ste 202
Bismarck, ND 58501-1224
Phone: (877) 522-1275
Fax: (833) 888-7145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence R34040 (ND)

Record details

NPI number1629323605
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 17, 2012
Last updated in NPPESMarch 11, 2025
Certification dateMarch 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Ideal Telemedicine Services Llc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations24 on file with Medicare

Other providers in Bismarck