NPIMap

Individual provider Active NPI

Kimberly Sue Svidal, FNP-C

  • Family Nurse Practitioner
  • Devils Lake, ND
National Provider Identifier
1427660836
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R39352 Issued in ND
Practice address
1001 7TH St NE
Devils Lake, ND 58301
Phone
(701) 662-2157
NPI assigned
Aug 18, 2020
Last updated
Jan 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R39352 ND Primary

Addresses

Primary practice location

1001 7TH St NE
Devils Lake, ND 58301

Mailing address

PO Box 13780
Grand Forks, ND 58208
Phone (701) 550-1988

Other names 1

  • Kimberly Sue Albertson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20200929001018 ND Practitioner - Nurse Practitioner 5395164123 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of North Dakota School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Altru Health SystemGroup PAC ID 1355251604, 675 clinicians

Practice addresses (Care Compare)

1001 7TH St NE
Devils Lake, ND 58301-2719
Phone (701) 662-2157

1300 S Columbia Rd
Grand Forks, ND 58201-4012
Phone (701) 780-5000

1380 S Columbia Rd
Grand Forks, ND 58201-4059
Phone (701) 795-2000

301 Mountain St E
Suite a
Cavalier, ND 58220-4015
Phone (701) 265-8338

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Altru Health System Current Accepting new patients
Altru Health System CurrentSince Jan 29, 2024 Accepting new patients
Altru Health System CurrentSince Jan 29, 2024 Accepting new patients
Mercy Hospital of Devils Lake CurrentSince Sep 14, 2020 Accepting new patients
Mercy Hospital of Devils Lake CurrentSince Sep 14, 2020 Accepting new patients
Altru Health System Past Accepting new patients

Locations

3290 Solutions Ctr
Chicago, IL 60677

1001 7th St NE
Devils Lake, ND 58301
Phone (701) 662-2157

1031 7th St NE
Devils Lake, ND 58301
Phone (701) 662-2131

1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000

Organizations & group practices 6

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 5

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": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1427660836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13780",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "58208",
            "telephone_number": "701-550-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 7TH ST NE",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "58301",
            "telephone_number": "701-662-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SVIDAL",
        "first_name": "KIMBERLY",
        "middle_name": "SUE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2024-01-09",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R39352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "ALBERTSON",
            "middle_name": "SUE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Devils Lake, ND

Sources for this page

Verify at the official NPI Registry.