Christina Beth Ische, CNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

11933 Issued in MN

Practice address

39 10TH St W Apt 201
Waconia, MN 55387-2801

Phone

(612) 384-0174

NPI assigned

Aug 7, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

Practice roles

Locations

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.

• Matrix Medical Plus

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1376973461

  MN

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1336979947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 10TH ST W APT 201",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553872801",
            "telephone_number": "612-384-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 10TH ST W APT 201",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553872801",
            "telephone_number": "612-384-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISCHE",
        "first_name": "CHRISTINA",
        "middle_name": "BETH",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MN",
            "license": "11933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer C Infanger, MSW
• Infinite Health Collaborative, PA
• Infinite Health Collaborative, PA
• Tracy Lynn Ingham, NP-C
• Madison Lynn Isaak, PHARMD
• Jennifer Kristin Ische, D.O.
• Bailey Iverson
• David Scott Jackson, CRNA
• Tracy A Jackson, O.D.
• Loretta Jaeger, SLP

• Gerontology Nurse Practitioner in Waconia, MN
• Providers in Waconia, MN by specialty
• Gerontology Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.