Rebecca Rae Kreis, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R32556 Issued in ND

Practice address

2100 S Columbia Rd Ste 114
Grand Forks, ND 58201-5895

Phone

(701) 516-4637

NPI assigned

Oct 24, 2012

Last updated

May 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

University of North Dakota School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Primary Care PLLCGroup PAC ID 5799223491, 16 clinicians

Legacy Medical LLCGroup PAC ID 0648698290, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hia Hospice Hospice, Fargo, ND, CCN 351500
• Altru Hospital Hospital, Grand Forks, ND, CCN 350019

Merit-based Incentive Payment System (MIPS)

Final score

92.23 of 100Reported as group

Quality

81.84

Promoting interoperability

98

Improvement activities

40

Cost

70.83

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JCIBCD

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.

• Legacy Medical LLC

  • Adult Medicine Physician
  • Bismarck, ND
  • NPI 1619594637

  MN

  Medicare reassignment Care Compare group NPD
• Legacy Primary Care PLLC

  • Adult Medicine Physician
  • Grand Forks, ND
  • NPI 1265277115

  MN

  Medicare reassignment Care Compare group NPD
• Kidney and Hypertension PLC

  • Multi-Specialty Clinic/Center
  • Grand Forks, ND
  • NPI 1285742262
  Medicare reassignment NPD
• Provider Partners Care Management LP

  • Nurse Practitioner
  • Columbia, MD
  • NPI 1013348028

  ND

  Medicare reassignment NPD
• Big Stone Therapies Montague LLC

  • Physical Therapy Clinic/Center
  • Montague, MI
  • NPI 1073021093
  NPD (past)

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

• Altru Health System

  • General Acute Care Hospital
  • Grand Forks, ND
  • NPI 1154346161
  Care Compare affiliation
• Hospice of the Red River Valley

  dba HIA Hospice

  • Community Based Hospice Care Agency
  • Fargo, ND
  • NPI 1538253646
  Care Compare affiliation

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1164775441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19580 SCOUT LN",
            "city": "SAINT ONGE",
            "state": "SD",
            "postal_code": "577797913",
            "telephone_number": "605-491-2832",
            "fax_number": "605-988-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 S COLUMBIA RD STE 114",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582015895",
            "telephone_number": "701-516-4637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1432 S Dobson Rd",
            "address_2": "#106",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852024768",
            "country_code": "US",
            "telephone_number": "480-969-3637",
            "fax_number": "480-969-6568",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4420 37th Ave S # 1",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581043400",
            "country_code": "US",
            "telephone_number": "701-516-4637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KREIS",
        "first_name": "REBECCA",
        "middle_name": "RAE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-24",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ND",
            "license": "R32556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Mae Kraemer, OTR L
• Casey Kramer, D.O.
• Denise Carol Kramer, BS, MSW
• Summer Kraska, PHD
• Natasha Marie Krebs, PMHNP-BC
• Tracy Anne Kressin, LICSW
• Deanna June Krick, R. N.
• Zachary Krieg, LBSW
• Ashlynn Krieger, MD
• Dawn Marie Kriewald, LBSW

• Nurse Practitioner in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.