Heather Crystal Carkhuff, PA-C
Individual provider Active NPI Physician Assistant · Fargo, ND
NPI 1952867178 · NPPES record last updated Aug 2, 2023
Key facts
- NPI
- 1952867178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PAC0765 (ND)
- Practice address
- 801 Broadway N
Fargo, ND 58102-3641 - Phone
- (701) 234-2000
- NPI assigned
- Feb 12, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sanford Medical Center Fargo
Practice addresses (Care Compare)
1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445
5225 23Rd Ave S
Fargo, ND 58104-7927
Phone (701) 417-2575
801 Broadway N
Fargo, ND 58102-3641
Phone (701) 234-2000
Hospital & facility affiliations
- Sanford Medical Center Fargo
- Perham Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.73 of 100
- Quality
- 71.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.68
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in ND, SD, 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 |
|---|---|---|---|---|
| I20190321001547 | ND | Practitioner - Physician Assistant | 4284974676 | Reassigns benefits to 1 organization |
| I20211223001635 | SD | Practitioner - Physician Assistant | 4284974676 | Reassigns benefits to 1 organization |
| I20240522001262 | MN | Practitioner - Physician Assistant | 4284974676 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13378 | MN | MD | Clinical Social Worker |
| PAC0765 | ND | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Clinic | Current |
Accepting new patients | |
| Sanford Medical Center Fargo | Current |
Accepting new patients | |
| Sanford Medical Center Fargo | Current |
Accepting new patients | |
| Sanford Medical Center Fargo | Current |
Accepting new patients | |
| Sanford Clinic | Current |
Accepting new patients | |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Past | Accepting new patients |
Locations
736 Broadway N
Fargo, ND 58102
Phone (701) 234-2353
2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800
801 Broadway N
Fargo, ND 58102
Phone (701) 234-5121
1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445
525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000
4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PAC0765 | ND | Yes |
Addresses
Primary practice location
801 Broadway N
Fargo, ND 58102-3641
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other names
- Heather Crystal Foss
Other providers in Fargo, ND
- Caring Touch
- Caringedge Hospice of Fargo
- Carita R Shawchuck PHD PC
- Carita R Shawchuck, PHD, PC
- Tristan Erich Carivau
- Carl a. Trout, DDS, PC
- Carl John Fedyszyn, M.D.,P.C.
- Hannah Carlblom
- Megan R Carlblom
- Emily Taylor Carleton
All providers in Fargo, ND · Physician Assistant 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 Aug 2, 2023. 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.