Individual provider Active NPI

Kristen Scholl, PA-C

  • Surgical Physician Assistant
  • Bismarck, ND
National Provider Identifier
1164859831
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PAC0530 Issued in ND
Practice address
1500 Interchange Ave Ste 201
Bismarck, ND 58501-2084
Phone
(701) 498-4111
Fax
(701) 498-3996
NPI assigned
Sep 26, 2013
Last updated
Nov 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PAC0530 ND Primary

Addresses

Primary practice location

1500 Interchange Ave Ste 201
Bismarck, ND 58501-2084

Mailing address

1500 Interchange Ave Ste 201
Bismarck, ND 58501-2084
Phone (701) 498-4111

Other identifiers 1

IdentifierTypeStateIssuer
PAC0530OtherNDND LICENSE

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
I20140108001081 ND Practitioner - Physician Assistant 3678701109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Balance Medical LLCGroup PAC ID 9638505449, 4 clinicians

Practice addresses (Care Compare)

1500 Interchange Ave
Suite 201
Bismarck, ND 58501-2084
Phone (701) 498-4111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.05 of 100Reported as group
Quality
66.9
Promoting interoperability
95
Improvement activities
40
Cost
80.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Joshua G Yorgason MD PLLC CurrentSince Dec 3, 2023 Accepting new patients

Locations

1500 Interchange Ave
Ste 201
Bismarck, ND 58501
Phone (701) 330-7856

Interoperability endpoints

  • Direct secure messaging: kristen.scholl.1@20398.direct.athenahealth.com

Organizations & group practices 2

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 1

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": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1164859831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 INTERCHANGE AVE STE 201",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585012084",
            "telephone_number": "701-498-4111",
            "fax_number": "701-498-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 INTERCHANGE AVE STE 201",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585012084",
            "telephone_number": "701-498-4111",
            "fax_number": "701-498-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOLL",
        "first_name": "KRISTEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-26",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "ND",
            "license": "PAC0530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ND LICENSE",
            "identifier": "PAC0530",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.