NPIMap

Individual provider Active NPI

Dylan G Folkestad, MD

  • Family Medicine Physician
  • Henning, MN
National Provider Identifier
1285868901
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
52995 Issued in MN
Practice address
401 Douglas Ave
Tri-County Health Care Henning Clinic
Henning, MN 56551
Phone
(218) 583-2953
Fax
(218) 583-4521
NPI assigned
May 9, 2009
Sex
Male
Sole proprietor
No

Organizations & group practices 12

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 5

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

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota Medical School, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Astera Health 106 clinicians

Practice addresses (Care Compare)

401 Douglas Ave
Henning, MN 56551-4026
Phone (218) 583-2953

Hospital & facility affiliations

  • Vivie Home Health Home health agency, Alexandria, MN, CCN 248096
  • Vivie Hospice Hospice, Alexandria, MN, CCN 241592
  • Astera Health Hospital, Wadena, MN, CCN 241354
  • Alomere Health Hospital, Alexandria, MN, CCN 240030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110118001125 MN Practitioner - Family Practice 0143419408 Reassigns benefits to 8 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
52995MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centracare Health System - Sauk Centre Current Accepting new patients
Astera Health CurrentSince Jul 27, 2015 Accepting new patients
Astera Health Current Accepting new patients
Astera Health CurrentSince Jul 27, 2015 Accepting new patients

Locations

425 Elm St N
Sauk Centre, MN 56378
Phone (320) 352-2221

421 11th St NW
Wadena, MN 56482
Phone (218) 631-3510

415 Jefferson St N
Wadena, MN 56482
Phone (218) 631-3510

Interoperability endpoints

  • Direct secure messaging: dfolkestad26194@direct.centracare.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 52995 MN Primary

Addresses

NPPES NPI Registry

Primary practice location

401 Douglas Ave
Tri-County Health Care Henning Clinic
Henning, MN 56551

Mailing address

415 Jefferson St North
Tri-County Health Care
Wadena, MN 56482-1296
Phone (218) 631-3510

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address dfolkestad26194@direct.centracare.com Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 21, 2024.

{
    "created_epoch": "1241827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1285868901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 JEFFERSON ST NORTH",
            "address_2": "TRI-COUNTY HEALTH CARE",
            "city": "WADENA",
            "state": "MN",
            "postal_code": "564821296",
            "telephone_number": "218-631-3510",
            "fax_number": "218-631-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 DOUGLAS AVE",
            "address_2": "TRI-COUNTY HEALTH CARE HENNING CLINIC",
            "city": "HENNING",
            "state": "MN",
            "postal_code": "56551",
            "telephone_number": "218-583-2953",
            "fax_number": "218-583-4521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLKESTAD",
        "first_name": "DYLAN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-09",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "52995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dfolkestad26194@direct.centracare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "dfolkestad26194@direct.centracare.com",
            "address_1": "50 Centracare Dr",
            "city": "Long Prairie",
            "state": "MN",
            "country_code": "US",
            "postal_code": "563472100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Henning, MN

Sources for this page

Verify at the official NPI Registry.