Active NPI
Krystle Dillon, PA-C
- Nurse Practitioner
- Redwood Falls, MN
National Provider Identifier
1376915041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- CNP4226
- Practice address
- 1100 E Broadway St
Redwood Falls, MN 56283-2247 - Phone
- (507) 637-2985
- Fax
- (507) 637-3057
- NPI assigned
- Oct 21, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | CNP4226 | MN | Primary |
Addresses
Primary practice location
1100 E Broadway St
Redwood Falls, MN 56283-2247
Mailing address
1100 E Broadway St
Redwood Falls, MN 56283-2247
Phone (507) 637-2985
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kdillon436957@direct.centracare.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Feb 15, 2023 through Feb 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4226 | MN | MD | Marriage & Family Therapist |
| CNP4226 | MN | MD | Nurse Practitioner |
Interoperability endpoints
- kdillon436957@direct.centracare.com
- krystle.dillon@984451277586436.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667260800000",
"number": "1376915041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 E BROADWAY ST",
"city": "REDWOOD FALLS",
"state": "MN",
"postal_code": "562832247",
"telephone_number": "507-637-2985",
"fax_number": "507-637-3057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 E BROADWAY ST",
"city": "REDWOOD FALLS",
"state": "MN",
"postal_code": "562832247",
"telephone_number": "507-637-2985",
"fax_number": "507-637-3057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLON",
"first_name": "KRYSTLE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-21",
"last_updated": "2022-11-01",
"certification_date": "2022-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "CNP4226",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kdillon436957@direct.centracare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "kdillon436957@direct.centracare.com",
"address_1": "1100 E Broadway St",
"city": "Redwood Falls",
"state": "MN",
"country_code": "US",
"postal_code": "562832247",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Redwood Falls, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.