Curtis Allen Kristensen, DPM
Individual provider Active NPI Podiatrist · Duluth, MN
NPI 1972565828 · NPPES record last updated May 9, 2012
Key facts
- NPI
- 1972565828
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Podiatrist 213E00000X
- License
- 498 (MN)
- Practice address
- 324 West Superior St
Ste 408
Duluth, MN 55802 - Phone
- (218) 722-0615
- Fax
- (218) 722-6712
- NPI assigned
- Apr 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northern Foot and Ankle Associates PA
Practice addresses (Care Compare)
324 W Superior St
Suite 408
Duluth, MN 55802-1726
Phone (218) 722-0615
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 73 |
| Removal of nail tissue | 272 |
| Removal or shaving of skin growth | 29 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101019001628 | MN | Practitioner - Podiatry | 9830122852 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Lakes Surgery Center LLC | Current | Accepting new patients | |
| Northern Foot & Ankle Associates PA | Podiatrist | Current |
Accepting new patients |
Locations
324 W Superior St
Ste 408
Duluth, MN 55802
Phone (218) 722-0615
Interoperability endpoints
- curtis.kristensen.kricu@nls.direct.slhduluth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 498 | MN | Yes |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 498 | MN |
Addresses
Primary practice location
324 West Superior St
Ste 408
Duluth, MN 55802
Mailing address
324 West Superior St
Ste 408
Duluth, MN 55802
Phone (218) 722-0615
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 344525900 | Medicaid | MN |
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2012. 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.