Stephanie A Kaiser, FNP-C
Individual provider Active NPI Nurse Practitioner · Grand Forks, ND
NPI 1922199728 · NPPES record last updated Feb 25, 2019
Key facts
- NPI
- 1922199728
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- R28606 (ND)
- Practice address
- 1300 S Columbia Rd
Grand Forks, ND 58201 - Phone
- (701) 780-6303
- Fax
- (701) 780-1899
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Altru Health System
Total Skin Dermatology and Aesthetics
Practice addresses (Care Compare)
1001 7TH St NE
Devils Lake, ND 58301-2719
Phone (701) 662-2157
1300 S Columbia Rd
Grand Forks, ND 58201-4012
Phone (701) 780-5000
1380 S Columbia Rd
Grand Forks, ND 58201-4059
Phone (701) 795-2000
400 S Minnesota St
Crookston, MN 56716-1808
Phone (218) 281-9100
4571 S Washington St
Suite N
Grand Forks, ND 58201-7270
Phone (701) 757-3376
Hospital & facility affiliations
- Altru Hospital
- Lifecare Medical Center
- First Care Health Center
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 |
|---|---|---|---|---|
| I20060106000189 | ND | Practitioner - Nurse Practitioner | 5698798510 | Reassigns benefits to 2 organizations |
| I20140115000622 | MN | Practitioner - Nurse Practitioner | 5698798510 | 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 | |
| Total Skin Dermatology & Aesthetics | Nurse Practitioner | Current |
Accepting new patients |
| Altru Health System | Current |
Accepting new patients | |
| Clinic Pharmacy Inc | Past | Accepting new patients |
Locations
400 S Minnesota St
Crookston, MN 56716
Phone (218) 281-9100
711 Delmore Dr
Roseau, MN 56751
Phone (218) 463-1365
201 E 3rd Ave S
Cavalier, ND 58220
Phone (701) 265-8338
806 10th St SE
Devils Lake, ND 58301
Phone (701) 544-2004
1001 7th St NE
Devils Lake, ND 58301
Phone (701) 662-2157
164 W 13th St
Grafton, ND 58237
Phone (701) 352-1620
1300 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-2300
2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891
4571 S Washington St
Ste N
Grand Forks, ND 58201
Phone (701) 757-3376
1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000
1200 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-5243
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R28606 | ND | Yes |
Addresses
Primary practice location
1300 S Columbia Rd
Grand Forks, ND 58201
Mailing address
2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891
Other providers in Grand Forks, ND
- Theresa A Jurgens
- JW Ventures, LLC
- Kanako Kabaki
- Angela Kaiser
- Sarah Kaiser
- Kaylyn Kalenze
- Rosemary J Kalenze
- Megan Kalka
- Ashlyn Kamrath
- Lori Alice Kamrowski
All providers in Grand Forks, ND · 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 Feb 25, 2019. 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.