Individual provider Active NPI

Katrina Leigh Fasen, NP

  • Family Nurse Practitioner
  • Saint Cloud, MN
National Provider Identifier
1497595540
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10860 Issued in MN
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

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241119001585 SC Practitioner - Nurse Practitioner 8123553880 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aiken Obstetrics and Gynecology Associates, PA CurrentSince Aug 19, 2024 Accepting new patients
STCH St Cloud LLC PastSince Jun 11, 2023 Accepting new patients

Locations

410 University Pkwy
Ste 1550
Aiken, SC 29801
Phone (803) 649-7535

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.