Active NPI
Katherine Erin Kruger, NP
- Acute Care Nurse Practitioner
- Dededo, GU
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- NP0138
- Practice address
- 133 Route 3
Dededo, GU 96929 - Phone
- (671) 645-5500
- NPI assigned
- Feb 7, 2013
- Last updated
- Jul 5, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 1344 | AK | |
| Family Nurse Practitioner | 363LF0000X | 1344 | AK | |
| Acute Care Nurse Practitioner | 363LA2100X | NP0138 | GU | Primary |
Addresses
Primary practice location
133 Route 3
Dededo, GU 96929
Mailing address
425 Chalan San Antonio
PMB 622
Tamuning, GU 96913-3516
Phone (671) 488-8176
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chelsea Community Hospital | Current | Accepting new patients | |
| Observation Medicine Group PLLC | Current | Accepting new patients | |
| Emergency Medicine Physicians of Genesee County, PLLC | Current | Accepting new patients | |
| Epmg of Michigan, P.C. | Current | Accepting new patients | |
| Alaska Native Tribal Health Consortium | Current | Accepting new patients | |
| Chelsea Community Hospital | Current | Accepting new patients |
Locations
4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729
775 S Main St
Chelsea, MI 48118
Phone (313) 995-3764
1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733
620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450
2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000
5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246
Organizations & group practices 6
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.
-
dba St. Joseph Mercy Chelsea
- Psychiatry Physician
- Chelsea, MI
- NPI 1912947409
-
- Emergency Medicine Physician
- Grand Blanc, MI
- NPI 1275899171
-
- Emergency Medicine Physician
- Livonia, MI
- NPI 1386688992
-
- Emergency Medicine Physician
- Grand Blanc, MI
- NPI 1194084111
-
- Urgent Care Clinic/Center
- Chelsea, MI
- NPI 1033778733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530748800000",
"number": "1912246174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 CHALAN SAN ANTONIO",
"address_2": "PMB 622",
"city": "TAMUNING",
"state": "GU",
"postal_code": "969133516",
"telephone_number": "671-488-8176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 ROUTE 3",
"city": "DEDEDO",
"state": "GU",
"postal_code": "96929",
"telephone_number": "671-645-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUGER",
"first_name": "KATHERINE",
"middle_name": "ERIN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-07",
"last_updated": "2018-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "AK",
"license": "1344",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AK",
"license": "1344",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "GU",
"license": "NP0138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dededo, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.