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

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.

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 (32 clinicians)

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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
2980MNMDHearing Instrument Specialist
R 138888-6MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Theoria Medical Nurse Practitioner Current
since Jun 1, 2021
Accepting new patients
Winneshiek Medical Center Current
since Jun 25, 2013
Accepting new patients
Healthwise Psychology, PA Current
since Aug 22, 2019
Accepting new patients
Winneshiek Medical Center Current Accepting new patients
Winneshiek Medical Center Current
since Jun 25, 2013
Accepting new patients
Winneshiek Medical Center Current
since Jun 25, 2013
Accepting new patients
Gundersen Lutheran Express Care, Inc Past Accepting new patients
Scott M Yarosh, LLC Past
since Dec 15, 2009
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

  • Direct secure messaging: kwyffels114763@uihcdirect.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 18, 2007.

{
    "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

Verify at the official NPI Registry.