Kyra Mae Jaeger-Laroche

Individual provider Active NPI Case Manager/Care Coordinator · Bismark, ND

NPI 1093692147 · NPPES record last updated Aug 20, 2025

Key facts

NPI
1093692147
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
415 E. Rosser Ave
Ste 113
Bismark, ND 58501-4058
Phone
(701) 222-6670
NPI assigned
Aug 20, 2025
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Burleigh County Human Service Zone Current
since Aug 25, 2025
Accepting new patients

Locations

415 E Rosser Ave
#113
Bismarck, ND 58501
Phone (701) 222-6622

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

415 E. Rosser Ave
Ste 113
Bismark, ND 58501-4058

Mailing address

415 E. Rosser Ave
Ste 113
Bismark, ND 58501-4058
Phone (701) 222-6670

Other providers in Bismark, ND

All providers in Bismark, ND · Case Manager/Care Coordinator in North Dakota

Sources for this page

Verify at the official NPI Registry.