Active NPI
Bonnie Kerstein
- Registered Nurse
- Willmar, MN
National Provider Identifier
1083075923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R-200524-9
- Practice address
- 2200 23Rd St NE Ste 1080
Willmar, MN 56201-6611 - Phone
- (320) 231-7860
- Fax
- (320) 321-7888
- NPI assigned
- Mar 18, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R-200524-9 | MN | Primary |
| Continuing Education/Staff Development Registered Nurse | 163WC1600X | R-200524-9 | MN |
Addresses
Primary practice location
2200 23Rd St NE Ste 1080
Willmar, MN 56201-6611
Mailing address
2200 23Rd St NE Ste 1080
Willmar, MN 56201-6611
Phone (320) 231-7860
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R-200524-9 | Other | MN | RN LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-200524-9 | MN | MD | Continuing Education/Staff Development Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Kandiyohi | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Kandiyohi County Public Health
- Public Health or Welfare Agency
- Willmar, MN
- NPI 1073676540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740960000000",
"number": "1083075923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 23RD ST NE STE 1080",
"city": "WILLMAR",
"state": "MN",
"postal_code": "562016611",
"telephone_number": "320-231-7860",
"fax_number": "320-321-7888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 23RD ST NE STE 1080",
"city": "WILLMAR",
"state": "MN",
"postal_code": "562016611",
"telephone_number": "320-231-7860",
"fax_number": "320-321-7888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERSTEIN",
"first_name": "BONNIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-18",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "R-200524-9",
"primary": true
},
{
"code": "163WC1600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Continuing Education/Staff Development",
"state": "MN",
"license": "R-200524-9",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "R-200524-9",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Willmar, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.