✓ Licensed & Credentialed Community Health Worker (172V00000X) ✓ HHS OIG Screened Clear 🩺 Entity Type 1 (Individual)

LORI ANN BARTON (NPI #1962390807)

Community Health Worker • KENMARE, ND • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1962390807
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
172V00000X
Licensed & Credentialed Community Health Worker
Box 32 Service Location & ZIP+4
59321 431ST AVE NW, KENMARE, ND, 58746-6404
✓ 9-Digit EDI 837 ZIP+4 (58746-6404)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1962390807 (LORI ANN BARTON) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1962390807 (NPI-1 Individual Practitioner)
Provider / Legal NameLORI ANN BARTON
Plain-English SpecialtyLicensed & Credentialed Community Health Worker
NUCC Code: 172V00000X (Community Health Worker)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address59321 431ST AVE NW, KENMARE, ND, 58746-6404
Practice Telephone / FaxTel: (701) 334-9638
Administrative Mailing Address59321 431ST AVE NW, KENMARE, ND, 58746-6404
Enumeration & Last SyncEnumerated: 2025-06-27 | CMS Record Updated: 2025-06-27

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

59321 431ST AVE NW, KENMARE, ND, 58746-6404

🗺️ Open in Google Maps 🏥 More Providers in KENMARE

Plain-English Taxonomy & CMS Crosswalk (172V00000X)

What Does Taxonomy Code 172V00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 172V00000X translates to:
"Licensed & Credentialed Community Health Worker"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Community Health Worker for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (LORI ANN BARTON)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
172V00000X — Community Health Worker
Plain English: Licensed & Credentialed Community Health Worker
State: N/A | License: Verified | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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