Active NPI
Kathleen Jeanne Quarzenski, APRN BC FNP
- Family Nurse Practitioner
- Willmar, MN
National Provider Identifier
1376607069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R176991-3
- Practice address
- 2800 1St Street South
Ste 220
Willmar, MN 56201-3556 - Phone
- (320) 214-7355
- Fax
- (320) 214-7356
- NPI assigned
- Dec 20, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 137840 | WI | |
| Registered Nurse | 163W00000X | 4704180891 | MI | |
| Nurse Practitioner | 363L00000X | 151802 | MO | |
| Family Nurse Practitioner | 363LF0000X | R176991-3 | MN | Primary |
Addresses
Primary practice location
2800 1St Street South
Ste 220
Willmar, MN 56201-3556
Mailing address
111 17TH Ave E
Ste 101
Alexandria, MN 56308-3734
Phone (320) 762-1144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704180891 | MI | MD | Registered Nurse |
| 137840 | WI | MD | Registered Nurse |
| 151802 | MO | MD | Nurse Practitioner |
| R176991-3 | MN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1376607069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 17TH AVE E",
"address_2": "STE 101",
"city": "ALEXANDRIA",
"state": "MN",
"postal_code": "563083734",
"telephone_number": "320-762-1144",
"fax_number": "320-762-1935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 1ST STREET SOUTH",
"address_2": "STE 220",
"city": "WILLMAR",
"state": "MN",
"postal_code": "562013556",
"telephone_number": "320-214-7355",
"fax_number": "320-214-7356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUARZENSKI",
"first_name": "KATHLEEN",
"middle_name": "JEANNE",
"name_prefix": "Mrs.",
"credential": "APRN BC FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-20",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "137840",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704180891",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "151802",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "R176991-3",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willmar, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.