Individual provider Active NPI

Nicole Krostue, OTR/:

  • Occupational Therapist
  • Thompson, ND
National Provider Identifier
1427722677
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
620 Crescent Dr
Thompson, ND 58278-4320
Phone
(218) 230-2171
NPI assigned
Aug 2, 2021
Last updated
Aug 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

620 Crescent Dr
Thompson, ND 58278-4320

Mailing address

620 Crescent Dr
Thompson, ND 58278-4320
Phone (218) 230-2171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, ND2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210820001224 MN Practitioner - Occupational Therapist in Private Practice 8123423670 Reassigns benefits to 1 organization
I20210909003720 ND Practitioner - Occupational Therapist in Private Practice 8123423670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Home Therapy Solutions LLCGroup PAC ID 2365788569, 11 clinicians

Practice addresses (Care Compare)

Thompson, ND 58278
Phone (701) 554-0111

39725 255TH St SW
Fisher, MN 56723-9352
Phone (218) 230-2171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104334MNMDNeurology Physician
1876NDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Home Therapy Solutions LLC Occupational Therapist CurrentSince Aug 1, 2021 Accepting new patients

Locations

749 S 30th St
Apt 23
Grand Forks, ND 58201
Phone (218) 230-2171

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1427722677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 CRESCENT DR",
            "city": "THOMPSON",
            "state": "ND",
            "postal_code": "582784320",
            "telephone_number": "218-230-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 CRESCENT DR",
            "city": "THOMPSON",
            "state": "ND",
            "postal_code": "582784320",
            "telephone_number": "218-230-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROSTUE",
        "first_name": "NICOLE",
        "credential": "OTR/:",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thompson, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.