Kiley R Andreas, CNS
Individual provider Active NPI Psychiatric/Mental Health Clinical Nurse Specialist · Minot, ND
NPI 1598072035 · NPPES record last updated Sep 16, 2024
Key facts
- NPI
- 1598072035
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X
- License
- R31977 (ND)
- Practice address
- 801 21St Ave SE
Minot, ND 58701-6064 - Phone
- (701) 838-3033
- Fax
- (701) 838-3155
- NPI assigned
- Sep 3, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Medicare Care Compare profile
- Specialty
- Certified Clinical Nurse Specialist (CNS)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sanford Bismarck
Practice addresses (Care Compare)
3318 N 14TH St
Bismarck, ND 58503-1614
Phone (701) 323-8300
801 21St Ave SE
Minot, ND 58701-6064
Phone (701) 838-3150
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.05 of 100
- Quality
- 60.57
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 77.93
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.63 of 100
- Quality
- 89.39
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.04
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101108000081 | ND | Practitioner - Certified Clinical Nurse Specialist (CNS) | 2961697719 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Specialist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Bismarck | Current |
Accepting new patients | |
| Sanford Bismarck | Current |
Accepting new patients | |
| St Aloisius Hospital Inc | Past | Accepting new patients |
Locations
3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300
801 21st Ave SE
Minot, ND 58701
Phone (701) 838-3033
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | R31977 | ND | Yes |
| Clinical Nurse Specialist | 364S00000X | R31977 | ND |
Addresses
Primary practice location
801 21St Ave SE
Minot, ND 58701-6064
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other practice location 1
407 3rd St SE
Minot, ND 58701-4470
Phone (701) 857-2360
Other providers in Minot, ND
- Samantha Anderson
- Leonard Anderson, Sr.
- Tawaski Montrell Anderson
- Thora R Anderson
- Tonya M Anderson
- Melissa Lynne Andreasen
- Amanda Anfinson
- Angels Hands Healthcare
- Andrea Anhorn
- Apothecary Roughriders Inc
All providers in Minot, ND · Psychiatric/Mental Health Clinical Nurse Specialist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.