Individual provider Active NPI

McKenzie Terfehr, NP

  • Nurse Practitioner
  • Fairmont, MN
National Provider Identifier
1689284945
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
7580 Issued in MN
Practice address
1235 Highway 15 S
Fairmont, MN 56031-4461
Phone
(507) 399-1604
NPI assigned
Aug 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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 A160167 IA
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 7580 MN Primary

Addresses

Primary practice location

1235 Highway 15 S
Fairmont, MN 56031-4461

Mailing address

223 200TH Ave
Fairmont, MN 56031-5080
Phone (507) 399-1604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201012002634 IA Practitioner - Nurse Practitioner 9537589692 Reassigns benefits to 1 organization
I20220531001159 MN Practitioner - Nurse Practitioner 9537589692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SMSS PLLCGroup PAC ID 9638557820, 2 clinicians

Practice addresses (Care Compare)

757 S State St
Suite 1
Fairmont, MN 56031-4438
Phone (507) 399-2099

Hospital & facility affiliations

  • United Hospital District Hospital, Blue Earth, MN, CCN 241369
  • Mayo Clinic Health System - Fairmont Hospital, Fairmont, MN, CCN 240166
  • Mayo Clinic Health System - Albert Lea and Austin Hospital, Albert Lea, MN, CCN 240043

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7580MNMDNurse Practitioner
A160167IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SMSS PLLC Single Specialty CurrentSince Apr 20, 2022 Accepting new patients
Lakes Dermatology, PLLC Single Specialty CurrentSince Sep 16, 2020 Accepting new patients

Locations

1001 12th St N
Humboldt, IA 50548
Phone (712) 336-2728

2704 Enterprise Ave
Spirit Lake, IA 51360
Phone (712) 336-2728

1235 Highway 15 S
Fairmont, MN 56031
Phone (507) 399-1604

757 S State St
Ste 1
Fairmont, MN 56031
Phone (507) 399-2099

Interoperability endpoints

  • Direct secure messaging: mterfehr@smss.emadirect.md

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1689284945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 200TH AVE",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560315080",
            "telephone_number": "507-399-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 HIGHWAY 15 S",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560314461",
            "telephone_number": "507-399-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERFEHR",
        "first_name": "MCKENZIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A160167",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "7580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, MN

Sources for this page

Verify at the official NPI Registry.