NPIMap

Individual provider Active NPI

Kathryn Jo Christensen, NP-C

  • Family Nurse Practitioner
  • Hendricks, MN
National Provider Identifier
1447709597
Registry record updated Sep 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP4829 Issued in MN
Practice address
501 E Lincoln St
Hendricks, MN 56136-9598
Phone
(507) 275-3121
Fax
(507) 275-3194
NPI assigned
Sep 30, 2016
Last updated
Sep 30, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2016

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 CNP4829 MN Primary

Addresses

Primary practice location

501 E Lincoln St
Hendricks, MN 56136-9598

Mailing address

501 E Lincoln St
Hendricks, MN 56136-9598
Phone (507) 275-3121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20161108000035 MN Practitioner - Nurse Practitioner 9638458052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

501 E Lincoln St
Hendricks, MN 56136-0106
Phone (507) 275-3121

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.77 of 100Reported as group
Quality
94.13
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CNP4829MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hendricks Community Hospital Assn & Retirement Home CurrentSince Oct 1, 2016 Accepting new patients
Hendricks Community Hospital Assn & Retirement Home CurrentSince Oct 1, 2016 Accepting new patients
Hendricks Community Hospital Assn & Retirement Home Past Accepting new patients
Hendricks Community Hospital Assn & Retirement Home Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kathryn.christensen@avera.sdhealthlink.net

Organizations & group practices 4

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 7

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": "1475193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475193600000",
    "number": "1447709597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E LINCOLN ST",
            "city": "HENDRICKS",
            "state": "MN",
            "postal_code": "561369598",
            "telephone_number": "507-275-3121",
            "fax_number": "507-275-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E LINCOLN ST",
            "city": "HENDRICKS",
            "state": "MN",
            "postal_code": "561369598",
            "telephone_number": "507-275-3121",
            "fax_number": "507-275-3194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "KATHRYN",
        "middle_name": "JO",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-30",
        "last_updated": "2016-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "CNP4829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendricks, MN

Sources for this page

Verify at the official NPI Registry.