Kirsten Marit Wyffels, RN CNP
Individual provider Active NPI Family Nurse Practitioner · Harmony, MN
NPI 1275619223 · NPPES record last updated Jul 18, 2007
Key facts
- NPI
- 1275619223
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R 138888-6 (MN)
- Practice address
- 805 Main Ave S
Harmony, MN 55939-6625 - Phone
- (507) 886-8888
- NPI assigned
- Oct 31, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Healthwise Psychology PA
Practice addresses (Care Compare)
11280 86TH Ave N
Maple Grove, MN 55369-4510
Phone (763) 400-7828
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN, IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061228000025 | MN | Practitioner - Nurse Practitioner | 1557361482 | Reassigns benefits to 3 organizations |
| I20130729000046 | IA | Practitioner - Nurse Practitioner | 1557361482 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2980 | MN | MD | Hearing Instrument Specialist |
| R 138888-6 | MN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theoria Medical | Nurse Practitioner | Current |
Accepting new patients |
| Winneshiek Medical Center | Current |
Accepting new patients | |
| Healthwise Psychology, PA | Current |
Accepting new patients | |
| Winneshiek Medical Center | Current | Accepting new patients | |
| Winneshiek Medical Center | Current |
Accepting new patients | |
| Winneshiek Medical Center | Current |
Accepting new patients | |
| Gundersen Lutheran Express Care, Inc | Past | Accepting new patients | |
| Scott M Yarosh, LLC | Past |
Accepting new patients | |
| Mayo Clinic Health System-Southeast Minnesota Region | Past | Accepting new patients | |
| Gundersen Lutheran Medical Center, Inc. | Past | Accepting new patients | |
| Gundersen Clinic LTD | Past | Accepting new patients |
Locations
901 Montgomery St
Decorah, IA 52101
Phone (319) 382-2911
112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
114 Main St S
Mabel, MN 55954
Phone (507) 493-5115
11280 86th Ave N
Maple Grove, MN 55369
Phone (763) 400-7828
5430 Boone Ave N
New Hope, MN 55428
Phone (763) 492-3000
Interoperability endpoints
- kwyffels114763@uihcdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R 138888-6 | MN | |
| Family Nurse Practitioner | 363LF0000X | R 138888-6 | MN | Yes |
Addresses
Primary practice location
805 Main Ave S
Harmony, MN 55939-6625
Mailing address
1836 South Ave
La Crosse, WI 54601-5429
Phone (608) 782-7300
NPI Registry JSON
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184716800000",
"number": "1275619223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1836 SOUTH AVE",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546015429",
"telephone_number": "608-782-7300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 MAIN AVE S",
"city": "HARMONY",
"state": "MN",
"postal_code": "559396625",
"telephone_number": "507-886-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYFFELS",
"first_name": "KIRSTEN",
"middle_name": "MARIT",
"credential": "RN CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2007-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "R 138888-6",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "R 138888-6",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harmony, MN
All providers in Harmony, MN · Family Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.