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

Danette Pengilly, GNP-C

Individual provider Gerontology Nurse Practitioner · NPI 1013016989

Danette Pengilly, GNP-C is a Nurse Practitioner in Bismarck, North Dakota. Qualified in 1995, 31 years ago. Practices with St Alexius Medical Center, a 241-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
31
Licensed in
ND
In the registry since
2006

Practice location Address checks out

310 N 10th St
Bismarck, ND 58501-4516
Phone: (701) 530-7500
Fax: (701) 530-7484
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence R23780 (ND)

Record details

NPI number1013016989
Entity typeIndividual (Type 1)
GenderFemale
Credentials GNP-C
Sole proprietorNo
NPI enumeratedSeptember 21, 2006
Last updated in NPPESFebruary 29, 2008

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice St Alexius Medical Center — 241 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Bismarck