Kayla Kringlen
Individual provider Active NPI Family Nurse Practitioner · Grand Forks, ND
NPI 1710624176 · NPPES record last updated Jun 24, 2022
Key facts
- NPI
- 1710624176
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R41312 (ND)
- Practice address
- 3165 Demers Ave
Grand Forks, ND 58201-4049 - Phone
- (701) 780-6623
- NPI assigned
- May 17, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Altru Health System
Practice addresses (Care Compare)
1380 S Columbia Rd
Grand Forks, ND 58201-4059
Phone (701) 795-2000
3165 Demers Ave
Grand Forks, ND 58201-4049
Phone (701) 780-6623
711 Delmore Dr
Roseau, MN 56751-1534
Phone (218) 463-1365
715 Delmore Dr
Roseau, MN 56751-1534
Phone (218) 463-2500
Hospital & facility affiliations
- Altru Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ND, MN
- 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 |
|---|---|---|---|---|
| I20220809003541 | ND | Practitioner - Nurse Practitioner | 5597147488 | Reassigns benefits to 1 organization |
| I20250128004128 | MN | Practitioner - Nurse Practitioner | 5597147488 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altru Health System | Current |
Accepting new patients | |
| Altru Health System | Current | Accepting new patients | |
| Altru Health System | Current |
Accepting new patients | |
| Altru Health System | Current |
Accepting new patients |
Locations
711 Delmore Dr
Roseau, MN 56751
Phone (218) 463-1365
1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000
3165 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-3458
2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R41312 | ND | |
| Family Nurse Practitioner | 363LF0000X | R41312 | ND | Yes |
Addresses
Primary practice location
3165 Demers Ave
Grand Forks, ND 58201-4049
Mailing address
2401 Demers Ave
Grand Forks, ND 58201-4183
NPI Registry JSON
{
"created_epoch": "1652745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656028800000",
"number": "1710624176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 DEMERS AVE",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582014183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3165 DEMERS AVE",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582014049",
"telephone_number": "701-780-6623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRINGLEN",
"first_name": "KAYLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-17",
"last_updated": "2022-06-24",
"certification_date": "2022-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "ND",
"license": "R41312",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ND",
"license": "R41312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Forks, ND
- Tracy Anne Kressin
- Deanna June Krick
- Zachary Krieg
- Ashlynn Krieger
- Dawn Marie Kriewald
- Megan Lucille Kringlen
- Mark J Krisburg
- Stephanie Kristjanson
- Michael Charles Kropp
- Morgan Kroshus
All providers in Grand Forks, ND · Family Nurse Practitioner 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 Jun 24, 2022. 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.