NPIMap

Individual provider Active NPI

Mary Beth Krogstad, FNP-C

  • Nurse Practitioner
  • East Grand Forks, MN
National Provider Identifier
1972733186
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1278 Issued in MN
Practice address
621 Demers Ave
East Grand Forks, MN 56721-1812
Phone
(218) 773-5857
NPI assigned
Jul 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R30408 ND
Nurse Practitioner 363L00000X 1278 MN Primary

Addresses

Primary practice location

621 Demers Ave
East Grand Forks, MN 56721-1812

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-6585

Other practice location 1

1300 S Columbia Rd - Altru 1300 Columbia
Grand Forks, ND 58201-4012
Phone (701) 780-2300

Other names 1

  • Mary Beth Baldwin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090806000677 ND Practitioner - Nurse Practitioner 1052464112 Reassigns benefits to 1 organization
I20181127002165 MN Practitioner - Nurse Practitioner 1052464112 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Medical Center FargoGroup PAC ID 8426967803, 1,210 clinicians
Sanford Health Network NorthGroup PAC ID 8022206663, shared by 16 NPIs, 114 clinicians

Practice addresses (Care Compare)

1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445

1412 Main St
Hawley, MN 56549
Phone (218) 483-3564

1720 Hwy 59 S
Thief River Falls, MN 56701-4331
Phone (218) 681-4747

3001 Sanford Pkwy
Thief River Falls, MN 56701-2700
Phone (218) 683-2725

618 14TH Ave NE
Devils Lake, ND 58301-2808
Phone (701) 544-7000

621 Demers Ave
East Grand Forks, MN 56721-1812
Phone (218) 773-5857

801 Broadway N
Fargo, ND 58102-3641
Phone (701) 234-2000

929 Central Ave NW
East Grand Forks, MN 56721-1917
Phone (218) 773-6800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1278MNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center Fargo CurrentSince Jun 13, 2025 Accepting new patients
Sanford Health Network North CurrentSince Aug 25, 2025 Accepting new patients
Sanford Health Network North CurrentSince Aug 25, 2025 Accepting new patients
Altru Health System Current Accepting new patients
Sanford Medical Center Fargo CurrentSince Jun 13, 2025 Accepting new patients
Sanford Medical Center Fargo CurrentSince Jun 13, 2025 Accepting new patients
Sanford Health Network North Current Accepting new patients
Sanford Health Network North CurrentSince Aug 25, 2025 Accepting new patients
Altru Health System CurrentSince Oct 7, 2018 Accepting new patients
Sanford Health Network North Past Accepting new patients
Sanford Medical Center Fargo Past Accepting new patients
Clinic Pharmacy Inc Past Accepting new patients

Locations

400 S Minnesota St
Crookston, MN 56716
Phone (218) 281-9100

607 Demers Ave
East Grand Forks, MN 56721
Phone (218) 773-0357

621 Demers Ave
East Grand Forks, MN 56721
Phone (218) 773-5800

711 Delmore Dr
Roseau, MN 56751
Phone (218) 463-1365

1720 US Highway 59 SE
Thief Rvr Fls, MN 56701
Phone (218) 681-4747

3001 Sanford Pkwy
Thief Rvr Fls, MN 56701
Phone (218) 681-4240

412 Main Ave NE
Warroad, MN 56763
Phone (218) 386-2020

1001 7th St NE
Devils Lake, ND 58301
Phone (701) 662-2157

618 14th Ave NE
Devils Lake, ND 58301
Phone (701) 544-7000

1300 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-2300

1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1972733186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074",
            "telephone_number": "605-328-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 DEMERS AVE",
            "city": "EAST GRAND FORKS",
            "state": "MN",
            "postal_code": "567211812",
            "telephone_number": "218-773-5857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 S Columbia Rd - Altru 1300 Columbia",
            "address_purpose": "LOCATION",
            "city": "Grand Forks",
            "state": "ND",
            "postal_code": "582014012",
            "country_code": "US",
            "telephone_number": "701-780-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KROGSTAD",
        "first_name": "MARY",
        "middle_name": "BETH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-22",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ND",
            "license": "R30408",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "1278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "BALDWIN",
            "middle_name": "BETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Grand Forks, MN

Sources for this page

Verify at the official NPI Registry.