NDIS Pilot Programs
ND will increase positive outcomes for children and families through the establishment of pilot programs that build capacity of communities and the state to provide effective integrated health services to CYSHCN. Several ND community primary care providers will work as demonstration sites to pilot test the Medical Home Concept in urban, rural, and American Indian communities. NDIS will also support implementation of a cost effective statewide plan that cross shares information about services and insurance with partners and state systems.
Medical Home Pilot Sites
Dr. Thomas D Carver, DO
Pediatrics
Trinity Health Center West
101 3rd Ave SW
Minot ND
Dr. Russell Petty, MD
Family Practice
Devils Lake Community Clinic
425 College Dr S, Suite 14
Devils Lake ND
Dr. Myra Quanrud, MD
Pediatrics
Essentia Health
401 3rd St SE
Jamestown ND
Christopher Tiongson, MD
Pediatrics
Sanford Children's Southwest
2701 13th Avenue S
Fargo ND
Dr. Stephanie Hanson, MD
Pediatrics
Sanford Children’s Southwest
2701 13th Ave S
Fargo ND
Tammie Braaflat, FNP
Family Practice
MinnTohe Health Center
1 MinneTohe Drive
New Town ND
Dr. Sridevi Gowravaram, MD
Pediatrics
Sanford Clinic
520 Chautauqua Boulevard
Valley City ND
Medical Home Forms
Online Reporting Form
- Monthly Summary Report and Summary of Change
Printable Reporting Forms (print, fill-in, and send paper copy - pdf format)
- Monthly Summary Report
- Summary of Change Form
Other Forms
- NDCPD Photo Release Form