Active NPI
Laurie A Chittum, NP-C
- Family Nurse Practitioner
- Alexandria, MN
National Provider Identifier
1366892689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R2446727
- Practice address
- 1527 Broadway St
Alexandria, MN 56308-2537 - Phone
- (320) 762-0399
- Fax
- (320) 762-6847
- NPI assigned
- Jun 17, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R2446727 | MN | Primary |
| Family Nurse Practitioner | 363LF0000X | CP001095 | SD |
Addresses
Primary practice location
1527 Broadway St
Alexandria, MN 56308-2537
Mailing address
PO Box 2010
Fargo, ND 58122-2484
Phone (701) 234-1230
Other practice location 1
105 S State St
Aberdeen, SD 57401-4501
Phone (605) 941-1313
Other names 1
- Laurie Hansen
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of North Dakota School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1412 Main St
Hawley, MN 56549
Phone (218) 483-3564
1527 Broadway St
Alexandria, MN 56308-2537
Phone (320) 762-0399
Hospital & facility affiliations
- Vivie Home Health
- Sanford Medical Center Fargo
- Alomere Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.73 of 100
- Quality
- 71.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.68
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R2446727 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Past | Accepting new patients |
Locations
1527 Broadway St
Alexandria, MN 56308
Phone (320) 762-0399
4000 28th Ave S
Moorhead, MN 56560
Phone (701) 234-3200
115 E Soo St
Parkers Prairie, MN 56361
Phone (218) 338-4371
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Fargo, ND
- NPI 1528009412
-
- Home Health Agency
- Fargo, ND
- NPI 1891861761
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alexandria, MN
- NPI 1558236091
-
- Home Health Agency
- Alexandria, MN
- NPI 1477676229
-
- Ambulatory Surgical Clinic/Center
- Bemidji, MN
- NPI 1093876922
Hospital
-
- General Acute Care Hospital
- Fargo, ND
- NPI 1245519081
-
- General Acute Care Hospital
- Fargo, ND
- NPI 1528009412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1366892689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2010",
"city": "FARGO",
"state": "ND",
"postal_code": "581222484",
"telephone_number": "701-234-1230",
"fax_number": "701-234-2045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1527 BROADWAY ST",
"city": "ALEXANDRIA",
"state": "MN",
"postal_code": "563082537",
"telephone_number": "320-762-0399",
"fax_number": "320-762-6847"
}
],
"practiceLocations": [
{
"address_1": "105 S State St",
"address_purpose": "LOCATION",
"city": "Aberdeen",
"state": "SD",
"postal_code": "574014501",
"country_code": "US",
"telephone_number": "605-941-1313",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHITTUM",
"first_name": "LAURIE",
"middle_name": "A",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-17",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "R2446727",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SD",
"license": "CP001095",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURIE",
"last_name": "HANSEN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Alexandria, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.