Active NPI
Katrina Leigh Fasen, NP
- Family Nurse Practitioner
- Saint Cloud, MN
National Provider Identifier
1497595540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 10860
- Practice address
- 3315 Roosevelt Rd Ste 400
Saint Cloud, MN 56301-9689 - Phone
- (320) 202-5930
- NPI assigned
- May 28, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 10860 | MN | Primary |
| Family Nurse Practitioner | 363LF0000X | 28972 | SC |
Addresses
Primary practice location
3315 Roosevelt Rd Ste 400
Saint Cloud, MN 56301-9689
Mailing address
3315 Roosevelt Rd Ste 400
Saint Cloud, MN 56301-9689
Phone (320) 201-5930
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aiken Obstetrics and Gynecology Associates, PA | Current | Accepting new patients | |
| STCH St Cloud LLC | Past | Accepting new patients |
Locations
410 University Pkwy
Ste 1550
Aiken, SC 29801
Phone (803) 649-7535
Interoperability endpoints
- kfasen826988@direct.ghs.myhfn.org
Organizations & group practices 2
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.
-
- Specialist
- Aiken, SC
- NPI 1427160845
-
- Community Based Hospice Care Agency
- Saint Cloud, MN
- NPI 1689368144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774828800000",
"number": "1497595540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3315 ROOSEVELT RD STE 400",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563019689",
"telephone_number": "320-201-5930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3315 ROOSEVELT RD STE 400",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563019689",
"telephone_number": "320-202-5930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FASEN",
"first_name": "KATRINA",
"middle_name": "LEIGH",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-28",
"last_updated": "2026-03-30",
"certification_date": "2026-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "10860",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "28972",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.