Active NPI
Marcia Elaine Kempton, CNP
- Family Nurse Practitioner
- Wahpeton, ND
National Provider Identifier
1548293350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R31744
- Practice address
- 275 11TH St S
Wahpeton, ND 58075-4655 - Phone
- (701) 642-2000
- Fax
- (701) 671-4106
- NPI assigned
- Jul 8, 2006
- 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 | R131155-2 | MN | |
| Family Nurse Practitioner | 363LF0000X | R31744 | ND | Primary |
Addresses
Primary practice location
275 11TH St S
Wahpeton, ND 58075-4655
Mailing address
PO Box 6001
Fargo, ND 58108-6001
Phone (701) 642-2000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19908 | Medicaid | ND | |
| 1459544 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R131155-2 | MN | MD | Family Nurse Practitioner |
| 1913 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Central Internal Medicine | Past | Accepting new patients | |
| Fort Yates Indian Health Service Hospital | Past | Accepting new patients | |
| Astera Health | Past | Accepting new patients | |
| Rosebud Indian Health Service | Past | Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Past | Accepting new patients | |
| Astera Health | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Clinic/Center
- McLaughlin, SD
- NPI 1710037288
-
dba Wanblee Health Center
- Clinic/Center
- Wanblee, SD
- NPI 1962559518
-
- Ambulatory Surgical Clinic/Center
- Rosebud, SD
- NPI 1790955128
-
dba Prairie Medical Associates
- Clinic/Center
- Morris, MN
- NPI 1750481958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451088000000",
"number": "1548293350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6001",
"city": "FARGO",
"state": "ND",
"postal_code": "581086001",
"telephone_number": "701-642-2000",
"fax_number": "701-671-4106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 11TH ST S",
"city": "WAHPETON",
"state": "ND",
"postal_code": "580754655",
"telephone_number": "701-642-2000",
"fax_number": "701-671-4106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEMPTON",
"first_name": "MARCIA",
"middle_name": "ELAINE",
"name_prefix": "Mrs.",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-08",
"last_updated": "2015-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "R131155-2",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ND",
"license": "R31744",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "19908",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1459544",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wahpeton, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.