NPIMap

Individual provider Active NPI

Kelsey Faye Hiten, NP

  • Nurse Practitioner
  • Sartell, MN
National Provider Identifier
1316667884
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9485 Issued in MN
Practice address
100 2ND St S
Sartell, MN 56377-1977
Phone
(320) 251-2600
NPI assigned
Sep 2, 2022
Last updated
Sep 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9485 MN Primary
Registered Nurse 163W00000X 2499471 MN

Addresses

Primary practice location

100 2ND St S
Sartell, MN 56377-1977

Mailing address

519 9TH St SE
East Grand Forks, MN 56721-2388
Phone (701) 330-8358

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
I20221006000284 MN Practitioner - Nurse Practitioner 1759767288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integracare LTDGroup PAC ID 6800780818, 24 clinicians

Practice addresses (Care Compare)

471 Hwy 23
Foley, MN 56329-9145
Phone (320) 252-7800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2499471MNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Integracare LTD CurrentSince Aug 1, 2022 Accepting new patients

Locations

471 Highway 23
Foley, MN 56329
Phone (320) 968-7234

100 2nd St S
Sartell, MN 56377
Phone (320) 251-2600

Interoperability endpoints

  • Direct secure messaging: khiten630954@direct.centracare.com

Organizations & group practices 1

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 8

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": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1316667884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 9TH ST SE",
            "city": "EAST GRAND FORKS",
            "state": "MN",
            "postal_code": "567212388",
            "telephone_number": "701-330-8358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 2ND ST S",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563771977",
            "telephone_number": "320-251-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HITEN",
        "first_name": "KELSEY",
        "middle_name": "FAYE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "9485",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2499471",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sartell, MN

Sources for this page

Verify at the official NPI Registry.