Krista Dawn Ritzke, PA-C

Individual provider Active NPI Physician Assistant · Bismarck, ND

NPI 1457080673 · NPPES record last updated Jan 9, 2025

Key facts

NPI
1457080673
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
PAC1038 (ND)
Practice address
4906 Boulder Ridge Rd
Bismarck, ND 58503-6125
Phone
(605) 850-8465
NPI assigned
Jun 6, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McKenzie County Healthcare Systems Inc (63 clinicians)

Practice addresses (Care Compare)

3 4TH St E
Williston, ND 58801-5350
Phone (701) 577-6337

509 16TH St NE
Suite 3
Watford City, ND 58854-7628
Phone (701) 444-7814

709 4TH Ave NE
Watford City, ND 58854-7628
Phone (701) 842-3000

Hospital & facility affiliations

  • McKenzie County Healthcare Systems Inc Hospital · Watford City, ND · CCN 351302

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100 (apm)
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20231208002271 ND Practitioner - Physician Assistant 9931558418 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
McKenzie County Healthcare Systems Inc Current
since Nov 1, 2023
Accepting new patients
McKenzie County Healthcare Systems Inc Current
since Nov 1, 2023
Accepting new patients
McKenzie County Healthcare Systems Inc Current
since Nov 1, 2023
Accepting new patients
McKenzie County Healthcare Systems Inc Past Accepting new patients
McKenzie County Healthcare Systems Inc Past Accepting new patients
McKenzie County Healthcare Systems Inc Past Accepting new patients
McKenzie County Healthcare Systems Inc Past Accepting new patients
McKenzie County Healthcare Systems Inc Past Accepting new patients

Locations

1002 18th Ave SE
Ste C
Minot, ND 58701
Phone (701) 857-6010

525 N Main St
Watford City, ND 58854
Phone (701) 842-3771

709 4th Ave NE
Watford City, ND 58854
Phone (701) 444-2331

1542 16th St W
Ste 300
Williston, ND 58801
Phone (701) 572-2470

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PAC1038 ND Yes

Addresses

Primary practice location

4906 Boulder Ridge Rd
Bismarck, ND 58503-6125

Mailing address

4906 Boulder Ridge Rd
Bismarck, ND 58503-6125
Phone (605) 850-8465

Other names

  • Krista Ulmer Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 9, 2025.

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1457080673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4906 BOULDER RIDGE RD",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585036125",
            "telephone_number": "605-850-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4906 BOULDER RIDGE RD",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585036125",
            "telephone_number": "605-850-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITZKE",
        "first_name": "KRISTA",
        "middle_name": "DAWN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ND",
            "license": "PAC1038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTA",
            "last_name": "ULMER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bismarck, ND

All providers in Bismarck, ND · Physician Assistant in North Dakota

Sources for this page

Verify at the official NPI Registry.