Individual provider Active NPI

Krista L Smith, APRN-CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hibbing, MN
National Provider Identifier
1578948428
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3943 Issued in MN
Practice address
1101 E 37TH St Ste 5
Hibbing, MN 55746-2971
Phone
(218) 208-0019
NPI assigned
Jul 21, 2015
Last updated
Jul 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3943 MN Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2015000656 MN

Addresses

Primary practice location

1101 E 37TH St Ste 5
Hibbing, MN 55746-2971

Mailing address

3601 Minnesota Dr Ste 170
Bloomington, MN 55435-5202
Phone (952) 299-6949

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151112000178 MN Practitioner - Nurse Practitioner 6103136726 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Innovations IncGroup PAC ID 6204178528, 96 clinicians

Practice addresses (Care Compare)

3601 Minnesota Dr
Suite 170
Bloomington, MN 55435-5202
Phone (753) 421-5535

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3943MNMDMarriage & Family Therapist
2015000656MNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Range Regional Health Services CurrentSince Dec 16, 2015 Accepting new patients
Range Regional Health Services CurrentSince Dec 16, 2015 Accepting new patients
Psych North PLLC Psychiatric/Mental Health CurrentSince Feb 1, 2022 Accepting new patients
Family Innovations, Inc. Psychiatric/Mental Health CurrentSince Apr 1, 2024 Accepting new patients
West Central Counseling LLC PastSince Jun 6, 2021 Accepting new patients

Locations

121 5th Ave W
Alexandria, MN 56308
Phone (320) 759-3096

1833 3rd Ave
Anoka, MN 55303
Phone (763) 421-5535

1003 E Central Entrance
Duluth, MN 55811
Phone (218) 208-0019

1101 E 37th St
Ste 5
Hibbing, MN 55746
Phone (218) 208-0019

1814 14th Ave E
Hibbing, MN 55746
Phone (218) 262-3441

3605 Mayfair Ave
Hibbing, MN 55746
Phone (218) 262-3441

750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441

3601 Minnesota Dr
Ste 170
Minneapolis, MN 55435
Phone (612) 924-1421

402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.kristamcmanus@149810.advancedmd-direct.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1578948428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 MINNESOTA DR STE 170",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554355202",
            "telephone_number": "952-299-6949",
            "fax_number": "651-838-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E 37TH ST STE 5",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557462971",
            "telephone_number": "218-208-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KRISTA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-21",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "3943",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "2015000656",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hibbing, MN

Sources for this page

Verify at the official NPI Registry.