NPIMap

Individual provider Active NPI

Kimberley Dawn Binstock, FNP

  • Nurse Practitioner
  • Hazen, ND
National Provider Identifier
1881980894
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R31885 Issued in ND
Practice address
510 8TH Ave NE
Hazen, ND 58545
Phone
(701) 748-7245
NPI assigned
Jun 28, 2011
Last updated
Nov 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R31885 ND Primary

Addresses

Primary practice location

510 8TH Ave NE
Hazen, ND 58545

Mailing address

510 8TH Ave NE
Hazen, ND 58545
Phone (701) 799-1464

Other names 1

  • Kimberley Myklebust Former name

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
I20111005000817 ND Practitioner - Nurse Practitioner 3971775404 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Joseph's Hospital and Health CenterGroup PAC ID 0547177560, shared by 3 NPIs, 157 clinicians
Hazen Memorial Hospital AssociationGroup PAC ID 3779558366, shared by 3 NPIs, 22 clinicians

Practice addresses (Care Compare)

2500 Fairway St
Dickinson, ND 58601-2639
Phone (701) 456-4000

510 8TH Ave NE
Hazen Memorial Hospital
Hazen, ND 58545-4637
Phone (701) 748-2225

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jacobson Memorial Hospital Care Center CurrentSince Aug 26, 2025 Accepting new patients
St Francis Medical Center CurrentSince Aug 5, 2012 Accepting new patients
Jacobson Memorial Hospital Care Center CurrentSince Aug 26, 2025 Accepting new patients
Hazen Memorial Hospital Association CurrentSince Dec 31, 2016 Accepting new patients
Oakes Community Hospital CurrentSince Jul 12, 2011 Accepting new patients
Oakes Community Hospital CurrentSince Jul 12, 2011 Accepting new patients
Hazen Memorial Hospital Association Current Accepting new patients
Hazen Memorial Hospital Association CurrentSince Dec 31, 2016 Accepting new patients
Jacobson Memorial Hospital Care Center CurrentSince Dec 10, 2025 Accepting new patients
St. Francis Medical Center CurrentSince Aug 5, 2012 Accepting new patients
Cooperstown Medical Center CurrentSince Aug 1, 2017 Accepting new patients
Cooperstown Medical Center CurrentSince Aug 1, 2017 Accepting new patients
Skin Win Dermatology PC Past Accepting new patients

Locations

3293 Solutions Ctr
Chicago, IL 60677

107 12th St S
Cooperstown, ND 58425
Phone (701) 786-1700

1200 Roberts Ave NE
Cooperstown, ND 58425
Phone (701) 797-2128

510 8th Ave NE
Hazen, ND 58545
Phone (701) 748-2225

1200 N 7th St
Oakes, ND 58474
Phone (701) 742-3291

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00276

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 2

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": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1881980894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 8TH AVE NE",
            "city": "HAZEN",
            "state": "ND",
            "postal_code": "58545",
            "telephone_number": "701-799-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 8TH AVE NE",
            "city": "HAZEN",
            "state": "ND",
            "postal_code": "58545",
            "telephone_number": "701-748-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINSTOCK",
        "first_name": "KIMBERLEY",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ND",
            "license": "R31885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLEY",
            "last_name": "MYKLEBUST",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hazen, ND

Sources for this page

Verify at the official NPI Registry.