St Lukes Hospital
A Medicare group practice based in Crosby, ND: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 4486565645), with 10 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 4486565645
- Provider type
- Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
- Enrolled in
- ND
- Enrollments
- 4
- Group size
- 5 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 4
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20100929000515 | ND | Part A Provider - Critical Access Hospital | 1083620199 |
| O20100929000438 | ND | Part A Provider - Critical Access Hospital | 1215942032 |
| O20100219000314 | ND | Part A Provider - Rural Health Clinic | 1184737231 |
| O20040423001224 | ND | Part B Supplier - Clinic/Group Practice | 1184737231 |
NPIs in this group 4
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
St. Luke's Hospital
- Skilled Nursing Facility
- Crosby, ND
- NPI 1083620199
-
St. Luke's Hospital
- Critical Access Hospital
- Crosby, ND
- NPI 1215942032
Practice locations
- Crosby, ND4
Clinicians 10
Clinicians who reassign their Medicare benefits to this group (10) or whom Care Compare lists as members (5).
-
Kari Ely, FNP-C
- Family Nurse Practitioner
- Tioga, ND
- NPI 1962375840
-
Alexie Harms, PA-C
- Physician Assistant
- Crosby, ND
- NPI 1043687049
-
Christine Lorraine Knudsvig, ACNP-BC, FNP-BC
- Nurse Practitioner
- Crosby, ND
- NPI 1134202559
-
Benjamin J Krogh, D.O.
- Family Medicine Physician
- Grantsville, UT
- NPI 1013003540
-
Jeffrey Alden Moberg Jr., PA-C
- Physician Assistant
- Tioga, ND
- NPI 1235490269
-
James Richard Pantel, PA-C
- Medical Physician Assistant
- Crosby, ND
- NPI 1215474762
-
Mark G Peterson, MD
- Family Medicine Physician
- Grand Forks, ND
- NPI 1134182355
-
Cori Lynn Randall, FNP-C
- Family Nurse Practitioner
- Ashley, ND
- NPI 1083182174
-
Janie Sova, FNP-BC
- Family Nurse Practitioner
- Crosby, ND
- NPI 1760109383
-
Stanley Robert Stevens Jr., NP-C
- Family Nurse Practitioner
- Pollocksville, NC
- NPI 1114288768
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.