Individual provider Active NPI

Rachel Marie Kvasager, ANP-C

  • Nurse Practitioner
  • East Grand Forks, MN
National Provider Identifier
1134468192
Registry record updated Oct 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R29522 Issued in ND
Practice address
929 Central Ave NW
East Grand Forks, MN 56721-1917
Phone
(218) 773-6800
NPI assigned
Feb 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2022

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 R29522 ND Primary

Addresses

Primary practice location

929 Central Ave NW
East Grand Forks, MN 56721-1917

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Other names 1

  • Rachel Marie Salberg Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130510000074 ND Practitioner - Nurse Practitioner 1456598499 Reassigns benefits to 2 organizations
I20190710002485 MN Practitioner - Nurse Practitioner 1456598499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Medical Center FargoGroup PAC ID 8426967803, 1,210 clinicians

Practice addresses (Care Compare)

1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445

1412 Main St
Hawley, MN 56549
Phone (218) 483-3564

618 14TH Ave NE
Devils Lake, ND 58301-2808
Phone (701) 544-7000

929 Central Ave NW
East Grand Forks, MN 56721-1917
Phone (218) 773-6800

Hospital & facility affiliations

  • Good Samaritan Society Home Care Home health agency, Devils Lake, ND, CCN 357007
  • Sanford Medical Center Fargo Hospital, Fargo, ND, CCN 350011

Merit-based Incentive Payment System (MIPS)

Final score
82.73 of 100Reported as group
Quality
71.75
Promoting interoperability
100
Improvement activities
40
Cost
70.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3785MNMDMarriage & Family Therapist
R29522NDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PSJ Acquisition LLC CurrentSince Jan 4, 2021 Accepting new patients
Sanford Medical Center Fargo CurrentSince Jun 18, 2021 Accepting new patients
PSJ Acquisition LLC Current Accepting new patients
Sanford Medical Center Fargo CurrentSince Jun 18, 2021 Accepting new patients
Sanford Medical Center Fargo Past Accepting new patients

Locations

929 Central Ave NW
East Grand Forks, MN 56721
Phone (218) 773-5932

4000 28th Ave S
Moorhead, MN 56560
Phone (701) 234-3200

618 14th Ave NE
Devils Lake, ND 58301
Phone (701) 544-7000

510 4th St S
Fargo, ND 58103
Phone (701) 476-7200

2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800

1200 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-5243

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1360540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666396800000",
    "number": "1134468192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 CENTRAL AVE NW",
            "city": "EAST GRAND FORKS",
            "state": "MN",
            "postal_code": "567211917",
            "telephone_number": "218-773-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KVASAGER",
        "first_name": "RACHEL",
        "middle_name": "MARIE",
        "credential": "ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-11",
        "last_updated": "2022-10-22",
        "certification_date": "2022-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ND",
            "license": "R29522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "SALBERG",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Grand Forks, MN

Sources for this page

Verify at the official NPI Registry.