Janelle Lacey Kertzman, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R40315 Issued in ND

Practice address

721 1St Ave S Ste a
Jamestown, ND 58401-4725

Phone

(701) 320-4053

NPI assigned

Sep 19, 2024

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

Medicare fee-for-service enrollment

Enrolled in ND

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

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medallus and Vacharothone LTD 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jamestown Regional Medical Center Hospital, Jamestown, ND, CCN 351335

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Medallus & Vacharothone LTD

  • Family Medicine Physician
  • Jamestown, ND
  • NPI 1710496310

  ND

  Medicare reassignment Care Compare group NPD
• Medallus & Vacharothone LTD

  • Urgent Care Clinic/Center
  • Elko, NV
  • NPI 1902329469
  Care Compare group
• After Hours Medical LLC

  • Urgent Care Clinic/Center
  • Draper, UT
  • NPI 1437251279
  NPD (past)

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

• Lutheran Charity Association

  • Critical Access Hospital
  • Jamestown, ND
  • NPI 1548256753

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1821825191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 1ST AVE S STE A",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584014725",
            "telephone_number": "701-401-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 1ST AVE S STE A",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584014725",
            "telephone_number": "701-320-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERTZMAN",
        "first_name": "JANELLE",
        "middle_name": "LACEY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R40315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Catherine Kang, DPM
• Stanley Karzon Sr., DD
• Henry Kates Jr., LAC
• Patrick Kellam
• Kenn E Iverson DC P C
• Ian Keyes
• Nyamah Keymah II, CNA
• Holly Kiehl, MS RD, LRD
• Brittany Kilgore, PT, DPT
• Barbra Kill

• All providers in Jamestown, ND
• Family Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.