Kittson Memorial Hospital Association
A Medicare group practice based in Hallock, MN: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 1355251315), with 13 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 1355251315
- Provider type
- Part A Provider - Critical Access Hospital, Part A Provider - Home Health Agency, Part A Provider - Rural Health Clinic, Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice
- Enrolled in
- MN
- Enrollments
- 7
- Group size
- 8 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 8
Enrollment records 7
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20030626000007 | MN | Part A Provider - Rural Health Clinic | 1508947458 |
| O20031208000645 | MN | Part B Supplier - Clinic/Group Practice | 1669403846 |
| O20101018000156 | MN | Part A Provider - Home Health Agency | 1427050582 |
| O20100721000385 | MN | Part A Provider - Rural Health Clinic | 1740359348 |
| O20120110000341 | MN | Part A Provider - Skilled Nursing Facility | 1003847211 |
| O20120123000379 | MN | Part A Provider - Critical Access Hospital | 1104022441 |
| O20210614001210 | MN | Part A Provider - Critical Access Hospital | 1669403846 |
NPIs in this group 6
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Kittson Memorial Hospital Association
- Skilled Nursing Facility
- Hallock, MN
- NPI 1003847211
-
Kittson Memorial Hospital Association
dba Kittson Memorial Healthcare Center
- Medicare Defined Swing Bed Hospital Unit
- Hallock, MN
- NPI 1104022441
-
Kittson Memorial Hospital Association
dba Kittson Healthcare
- Home Health Agency
- Hallock, MN
- NPI 1427050582
-
Kittson Memorial Hospital Association
dba Kittson Memorial Clinic Karlstad
- Rural Health Clinic/Center
- Karlstad, MN
- NPI 1508947458
-
Kittson Memorial Hospital Association
- Critical Access Hospital
- Hallock, MN
- NPI 1669403846
-
Kittson Memorial Hospital Association
dba Kittson Memorial Clinic
- Rural Health Clinic/Center
- Hallock, MN
- NPI 1740359348
Practice locations
- Hallock, MN6
- Karlstad, MN2
Clinicians 13
Clinicians who reassign their Medicare benefits to this group (13) or whom Care Compare lists as members (8).
-
Abbey L Anderson, FNP-C
- Nurse Practitioner
- East Grand Forks, MN
- NPI 1891215836
-
Paul Raymond Anderson, PA-C
- Physician Assistant
- Grand Forks, ND
- NPI 1780613042
-
Vanessa Kay Cook, M.D.
- Family Medicine Physician
- Manhattan, KS
- NPI 1356363691
-
Amber Dawn Deere, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Wasilla, AK
- NPI 1912483397
-
Julie A. J. Johnson, FNP
- Acute Care Nurse Practitioner
- Hallock, MN
- NPI 1134203805
-
Karrah Oliver, PA-C
- Medical Physician Assistant
- Karlstad, MN
- NPI 1831503267
-
Amanda Jean Pinnock, NP-C
- Family Nurse Practitioner
- Hallock, MN
- NPI 1811303944
-
Rebecca Schulz, FNP
- Family Nurse Practitioner
- East Grand Forks, MN
- NPI 1881247575
-
Mathew Lloyd Stayman, MD
- Family Medicine Physician
- East Grand Forks, MN
- NPI 1548217268
-
James E Surdy, M.D.
- Specialist
- Hallock, MN
- NPI 1083705206
-
Matthew Stephen Viscito, M.D.
- Family Medicine Physician
- Grafton, ND
- NPI 1497969570
-
Heather Lynn Waldal, FNP-C
- Family Nurse Practitioner
- Crookston, MN
- NPI 1225629777
-
Karen Jean Warner, PA
- Physician Assistant
- Hallock, MN
- NPI 1619908993
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.