Individual provider Active NPI

Georgia Rae Krein, NP

  • Nurse Practitioner
  • Minot, ND
National Provider Identifier
1114205978
Registry record updated Jul 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R23732 Issued in ND
Practice address
600 Main St S
MCHS Minot / Heartland Care Partners
Minot, ND 58701-4499
Phone
(800) 375-5495
Fax
(800) 564-5952
NPI assigned
Jul 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R23732 ND Primary

Addresses

Primary practice location

600 Main St S
MCHS Minot / Heartland Care Partners
Minot, ND 58701-4499

Mailing address

14210 72ND Ave NW
Burlington, ND 58722-9620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110921000652 ND Practitioner - Nurse Practitioner 8224209325 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R23732NDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HCR Manorcare Medical Services of Florida LLC Nurse Practitioner CurrentSince Aug 15, 2011 Accepting new patients
Legacy Health Clinic CurrentSince Apr 25, 2022 Accepting new patients
Community Medical Services Montana-Private, LLC CurrentSince Jan 1, 2020 Accepting new patients
Legacy Health Clinic, LLC Past Accepting new patients

Locations

8444 N 90th St
Ste 100
Scottsdale, AZ 85258
Phone (480) 494-2497

1315 University Dr S
Fargo, ND 58103
Phone (701) 237-3030

901 28th St S
Ste C
Fargo, ND 58103
Phone (701) 404-1100

2424 32nd Ave S
Ste 103
Grand Forks, ND 58201
Phone (701) 792-6700

1603 35th Ave SW
Minot, ND 58701
Phone (701) 838-6000

600 Main St S
Minot, ND 58701
Phone (701) 837-3816

300 30th Ave NW
Ste D
Minot, ND 58703
Phone (701) 712-9703

L2540
Columbus, OH 43260

333 N Summit St
Fl 7
Toledo, OH 43604
Phone (419) 252-5909

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1311811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311811200000",
    "number": "1114205978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14210 72ND AVE NW",
            "city": "BURLINGTON",
            "state": "ND",
            "postal_code": "587229620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MAIN ST S",
            "address_2": "MCHS MINOT / HEARTLAND CARE PARTNERS",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587014499",
            "telephone_number": "800-375-5495",
            "fax_number": "800-564-5952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREIN",
        "first_name": "GEORGIA",
        "middle_name": "RAE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-28",
        "last_updated": "2011-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ND",
            "license": "R23732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

Verify at the official NPI Registry.