NPIMap

Individual provider Active NPI

Kristi J Midgarden, M.D.

  • Family Medicine Physician
  • Park River, ND
National Provider Identifier
1841374030
Registry record updated Dec 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
8012 Issued in ND
Practice address
503 Park St W
Park River, ND 58270-4103
Phone
(701) 284-6663
Fax
(701) 284-6923
NPI assigned
Oct 24, 2006
Last updated
Dec 31, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 8012 ND Primary

Addresses

Primary practice location

503 Park St W
Park River, ND 58270-4103

Mailing address

503 Park St W
Park River, ND 58270-4103
Phone (701) 284-6663

Other identifiers 5

IdentifierTypeStateIssuer
28252OtherNDBCBS OF ND
10874MedicaidND
926220200OtherMNMEDICAID
28252OtherNDBLUE CROSS BLUE SHIELD
924G8MIOtherMNBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050916000934 ND Practitioner - Family Practice 6406889641 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Dakota School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christian Unity Hospital CorporationGroup PAC ID 8123925401, shared by 4 NPIs, 25 clinicians

Practice addresses (Care Compare)

503 Park St W
Suite B
Park River, ND 58270-4138
Phone (701) 284-6663

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8012NDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Unity Hospital Corporation Family Medicine CurrentSince Dec 1, 2025 Accepting new patients
Christian Unity Hospital Corporation CurrentSince Feb 1, 2020 Accepting new patients
Christian Unity Hospital Corporation CurrentSince Feb 1, 2020 Accepting new patients
Lutheran Sunset Home Corporation Past Accepting new patients
Northland Family Physicians LLC PastSince Sep 15, 2019 Accepting new patients
The Evangelical Lutheran Good Samaritan Society Past Accepting new patients
Aurora Urgent Care LLC PastSince Oct 1, 2006 Accepting new patients

Locations

164 W 13th St
Grafton, ND 58237
Phone (701) 352-1620

503 Park St W
Park River, ND 58270
Phone (701) 284-6663

503 Park St W
Ste B
Park River, ND 58270
Phone (701) 284-6663

Organizations & group practices 8

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388448000000",
    "number": "1841374030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 PARK ST W",
            "city": "PARK RIVER",
            "state": "ND",
            "postal_code": "582704103",
            "telephone_number": "701-284-6663",
            "fax_number": "701-284-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 PARK ST W",
            "city": "PARK RIVER",
            "state": "ND",
            "postal_code": "582704103",
            "telephone_number": "701-284-6663",
            "fax_number": "701-284-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDGARDEN",
        "first_name": "KRISTI",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2013-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "8012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ND",
            "identifier": "28252",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10874",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "926220200",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "28252",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "924G8MI",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Park River, ND

Sources for this page

Verify at the official NPI Registry.