Kristin Doucette, APRN, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11348 Issued in MN

Practice address

811 2ND St SE
Little Falls, MN 56345-3559

Phone

(320) 631-7000

Fax

(320) 631-7229

NPI assigned

Mar 5, 2024

Last updated

Mar 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kristin Bagley (Maiden Name Was Friis) Former name

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Nurse Practitioner

Education

University of North Dakota School of Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Unity Family HealthcareGroup PAC ID 9830003516, shared by 7 NPIs, 65 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Gabriels Hospital Hospital, Little Falls, MN, CCN 241370

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kdoucette795009@direct.centracare.com

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.

• Traveling Light Psychiatric Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Baxter, MN
  • NPI 1508747486
  Medicare reassignment NPD Authorized official
• Unity Family Healthcare

  dba Little Falls Orthopedics

  • Orthopaedic Surgery Physician
  • Little Falls, MN
  • NPI 1326234006
  Medicare reassignment NPD
• Unity Family Healthcare

  dba St. Gabriel's Hospital

  • Critical Access Hospital
  • Little Falls, MN
  • NPI 1780630939
  Medicare reassignment NPD
• Unity Family Healthcare

  dba CHI Health at Home

  • Home Health Agency
  • Little Falls, MN
  • NPI 1952329047
  NPD

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

• Unity Family Healthcare

  dba Little Falls Orthopedics

  • Orthopaedic Surgery Physician
  • Little Falls, MN
  • NPI 1326234006

  Hospital

  Care Compare affiliation
• Unity Family Healthcare

  dba Randall Lakes Area Clinic

  • Clinic/Center
  • Randall, MN
  • NPI 1336359009

  Hospital

  Care Compare affiliation
• Unity Family Healthcare

  dba St. Gabriel's Hospital

  • Critical Access Hospital
  • Little Falls, MN
  • NPI 1780630939
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1568229698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13040 KINGWOOD DR",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258382",
            "telephone_number": "218-851-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 2ND ST SE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563453559",
            "telephone_number": "320-631-7000",
            "fax_number": "320-631-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUCETTE",
        "first_name": "KRISTIN",
        "credential": "APRN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "11348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "BAGLEY (MAIDEN NAME WAS FRIIS)",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joyce A Darisay
• Christopher David Determan, PHARM. D.
• Millie Ruth Wanous Devereaux, PA-C
• Kenneth Dodge, OD
• Michael J Dorle, MD
• Richard Dunning, DO
• Nicole A Ebnet, PHARMD
• David Earl Edgerton Jr., D.O.
• Effective Living Center, Inc
• Daniel Enderlin, D.P.M.

• Psychiatric/Mental Health Nurse Practitioner in Little Falls, MN
• Providers in Little Falls, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.