Katie Jean King, CRNA, APRN
Individual provider Active NPI Certified Registered Nurse Anesthetist · Fargo, ND
NPI 1992211437 · NPPES record last updated Nov 20, 2023
Key facts
- NPI
- 1992211437
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 2167 (MN)
- Practice address
- 1720 University Dr S
Fargo, ND 58103-4940 - Phone
- (701) 234-2000
- NPI assigned
- Dec 20, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
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 in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221219002333 | ND | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5294095295 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2167 | MN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Medical Center Fargo | Current |
Accepting new patients | |
| Sanford Medical Center Fargo | Current |
Accepting new patients | |
| Cssa, LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Sanford Medical Center Fargo | Past | Accepting new patients |
Locations
400 10th St E
Waconia, MN 55387
1720 University Dr S
Fargo, ND 58103
Phone (701) 280-4140
350 23rd Ave E
Ste 201
West Fargo, ND 58078
Phone (701) 356-4770
1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2167 | MN | Yes |
Addresses
Primary practice location
1720 University Dr S
Fargo, ND 58103-4940
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-6585
Other practice location 1
200 1st St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
Other names
- Katie Jean Boyum
Other providers in Fargo, ND
- Kelsey Kincaid
- Matthew Kindem
- Jenny Lynn Kinder
- Kindness Wings of Angels Services
- Kindness Wings of Angels Services
- Katie Marie King
- Lenore King
- Jacob Kinnen
- Gina Marie Kinzler
- Susan Jean Kinzler
All providers in Fargo, ND · Certified Registered Nurse Anesthetist 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 Nov 20, 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.
- 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.