Breah Christianson, FNP
Individual provider Active NPI Family Nurse Practitioner · Fosston, MN
NPI 1013745892 · NPPES record last updated Jul 23, 2024
Key facts
- NPI
- 1013745892
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 11863 (MN)
- Practice address
- 900 Hilligoss Blvd SE
Fosston, MN 56542-1542 - Phone
- (218) 435-1133
- NPI assigned
- Jul 23, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241112002560 | MN | Practitioner - Nurse Practitioner | 1355875436 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Care Medical Services | Current | Accepting new patients | |
| First Care Medical Services | Current |
Accepting new patients | |
| First Care Medical Services | Current |
Accepting new patients |
Locations
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
900 Hilligoss Blvd SE
Fosston, MN 56542
Phone (218) 435-1133
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11863 | MN | Yes |
Addresses
Primary practice location
900 Hilligoss Blvd SE
Fosston, MN 56542-1542
Mailing address
900 Hilligoss Blvd SE
Fosston, MN 56542-1542
Other providers in Fosston, MN
- Bethany Board and Lodge, Inc
- Bethany Home Health, Inc
- Bradley W Neujahr OD PA
- Peter ZQ Chen
- Chiropractic Health Clinic, Inc
- Dakota Clinic LTD
- Dakota Clinic, LTD.
- Dakota Clinic, LTD.
- Corinne A Dargus
- Tracy M Diefenbach
All providers in Fosston, MN · Family Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.