NPIMap

Individual provider Active NPI

Kristine Lynn Fastenau, NP

  • Adult Health Nurse Practitioner
  • Aberdeen, SD
National Provider Identifier
1083354393
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
CP002347 Issued in SD
Practice address
310 S Penn St Ste 203
Aberdeen, SD 57401-4553
Phone
(605) 225-7326
NPI assigned
Apr 1, 2022
Last updated
Apr 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X CP002347 SD Primary

Addresses

Primary practice location

310 S Penn St Ste 203
Aberdeen, SD 57401-4553

Mailing address

310 S Penn St Ste 203
Aberdeen, SD 57401-4553
Phone (605) 225-7326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220620000195 SD Practitioner - Nurse Practitioner 0143609388 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera St LukesGroup PAC ID 6406764927, 164 clinicians

Practice addresses (Care Compare)

305 S State St
Aberdeen, SD 57401-4527
Phone (605) 622-5100

310 S Penn St
Aberdeen, SD 57401-4553

413 9TH St
Britton, SD 57430-2274

415 9TH St
Britton, SD 57430-2274
Phone (605) 448-5853

8 E US Hwy 12
Groton, SD 57445-2176
Phone (605) 397-4242

809 11TH Ave
PO Box 504
Britton, SD 57430-0504

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince May 1, 2025 Accepting new patients
Avera McKennan CurrentSince May 1, 2025 Accepting new patients
Avera St. Luke's Current Accepting new patients
Avera St. Lukes CurrentSince May 16, 2022 Accepting new patients
Marshall County Memorial Hospital CurrentSince Jul 1, 2025 Accepting new patients
Avera McKennan Current Accepting new patients
Marshall County Memorial Hospital CurrentSince Jul 1, 2025 Accepting new patients
Avera St Lukes Past Accepting new patients

Locations

310 S Pennsylvania St
Ste 203
Aberdeen, SD 57401
Phone (605) 225-7326

413 9th St
Britton, SD 57430
Phone (605) 448-2253

300 W 5th St
Miller, SD 57362
Phone (605) 853-0158

Interoperability endpoints

  • Direct secure messaging: kristine.fastenau@avera.sdhealthlink.net

Organizations & group practices 8

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1083354393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S PENN ST STE 203",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014553",
            "telephone_number": "605-225-7326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S PENN ST STE 203",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014553",
            "telephone_number": "605-225-7326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASTENAU",
        "first_name": "KRISTINE",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-04-01",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SD",
            "license": "CP002347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

Verify at the official NPI Registry.