Individual provider Active NPI

Christine Harsell, ANP

  • Adult Health Nurse Practitioner
  • Grand Forks, ND
National Provider Identifier
1982861647
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R31123 Issued in ND
Practice address
212 S 4TH St Ste 301
Grand Forks, ND 58201-4776
Phone
(701) 757-2100
Fax
(701) 757-0305
NPI assigned
May 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R31123 ND Primary

Addresses

Primary practice location

212 S 4TH St Ste 301
Grand Forks, ND 58201-4776

Mailing address

212 S 4TH St Ste 200
Grand Forks, ND 58201-4781
Phone (701) 757-2100

Other practice location 1

607 Towner Ave
Larimore, ND 58251-4501
Phone (701) 343-6418

Other identifiers 6

IdentifierTypeStateIssuer
1982861647OtherPREFERRED ONE
19910MedicaidND
1982861647MedicaidMN
04-11646OtherMEDICA
1982861647OtherNDND BCBS
1982861647OtherMNMN BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080613000355 ND Practitioner - Nurse Practitioner 4688745995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectra HealthGroup PAC ID 8022075258, 12 clinicians

Practice addresses (Care Compare)

212 S 4TH St
Suite 200
Grand Forks, ND 58201-4781
Phone 70175721002008

607 Tower Ave
Larimore, ND 58251
Phone (701) 343-6418

Hospital & facility affiliations

  • Altru Hospital Hospital, Grand Forks, ND, CCN 350019

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spectra Health CurrentSince May 20, 2008 Accepting new patients

Locations

212 S 4th St
Ste 301
Grand Forks, ND 58201
Phone (701) 757-2100

212 S 4th St
Ste 200
Grand Forks, ND 58201
Phone (701) 757-2100

607 Towner Ave
Larimore, ND 58251
Phone (701) 318-9399

Organizations & group practices 2

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1982861647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 S 4TH ST STE 200",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014781",
            "telephone_number": "701-757-2100",
            "fax_number": "701-757-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S 4TH ST STE 301",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014776",
            "telephone_number": "701-757-2100",
            "fax_number": "701-757-0305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "607 Towner Ave",
            "address_purpose": "LOCATION",
            "city": "Larimore",
            "state": "ND",
            "postal_code": "582514501",
            "country_code": "US",
            "telephone_number": "701-343-6418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARSELL",
        "first_name": "CHRISTINE",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "ND",
            "license": "R31123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1982861647",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19910",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982861647",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "04-11646",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ND BCBS",
            "identifier": "1982861647",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN BCBS",
            "identifier": "1982861647",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

Verify at the official NPI Registry.