Legacy Primary Care PLLC
NPI 1265277115 · Adult Medicine Physician · Grand Forks, ND
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Legacy Primary Care PLLC is a Adult Medicine Physician organization in Grand Forks, ND (NPI 1265277115).
Provider details
- NPI number
- 1265277115
- Entity type
- Organization
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Heidi Williams, Cred Spec(605) 846-8239
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-07-01
- Last updated
- 2024-07-01
- Certified
- 2024-07-01
Frequently asked questions
- What is Legacy Primary Care PLLC's NPI number?
- Legacy Primary Care PLLC's National Provider Identifier (NPI) is 1265277115, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legacy Primary Care PLLC?
- Legacy Primary Care PLLC is classified in the NPPES registry as Adult Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Legacy Primary Care PLLC located?
- Legacy Primary Care PLLC's practice location on file with NPPES is 2100 S Columbia Rd Ste 114, Grand Forks, ND 58201-5895.
- What is Legacy Primary Care PLLC's phone number?
- The practice phone number listed in the NPPES registry for Legacy Primary Care PLLC is (701) 516-4637.
- Does Legacy Primary Care PLLC accept Medicare?
- Legacy Primary Care PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Legacy Primary Care PLLC?
- The authorized official listed on Legacy Primary Care PLLC's NPPES record is Heidi Williams, Cred Spec. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legacy Primary Care PLLC's NPI active?
- Yes — Legacy Primary Care PLLC's NPI (1265277115) is active in the NPPES registry as of the last update on 2024-07-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.