Kevin D Ballard, NP | |
323 S Minnesota St, Crookston, MN 56716-1601 | |
(218) 253-4606 | |
Not Available |
Full Name | Kevin D Ballard |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 29 Years |
Location | 323 S Minnesota St, Crookston, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700825981 | NPI | - | NPPES |
19961 | Medicaid | ND | |
23441 | Other | MN | ND BC |
726183700 | Medicaid | MN | |
142320 | Other | MN | UCARE # |
19666 | Other | ND | ND MA |
365Y6BA | Other | MN | BC MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | R28679 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sanford Medical Center Thief River Falls | Thief river falls, MN | Hospital |
Essentia Health Fosston | Fosston, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sanford Health Network North | 8022206663 | 85 |
Entity Name | Sanford Clinic North |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548532468 PECOS PAC ID: 4284546151 Enrollment ID: O20031209000264 |
Entity Name | First Care Medical Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073638565 PECOS PAC ID: 3678542842 Enrollment ID: O20040927000035 |
Entity Name | Sanford Health Of Northern Minnesota |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770849697 PECOS PAC ID: 5597725168 Enrollment ID: O20041025000442 |
Entity Name | Sanford Health Network North |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386047355 PECOS PAC ID: 8022206663 Enrollment ID: O20180205002429 |
Entity Name | Sanford Health Network North |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1043218753 PECOS PAC ID: 8022206663 Enrollment ID: O20180222001872 |
Mailing Address | Practice Location Address |
---|---|
Kevin D Ballard, NP 323 S Minnesota St, Crookston, MN 56716-1601 Ph: (218) 253-4606 | Kevin D Ballard, NP 323 S Minnesota St, Crookston, MN 56716-1601 Ph: (218) 253-4606 |
Barbara A Norman, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 603 Bruce St, Crookston, MN 56716 Phone: 218-281-3940 Fax: 218-281-6261 | |
Ashley Tebay, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1820 Sahlstrom Dr Ste A, Crookston, MN 56716 Phone: 701-331-4144 | |
Dr. Meghan Tracy Updike, DNP, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 323 S Minnesota St, Crookston, MN 56716 Phone: 218-281-9200 | |
Kelsey Susan Helgeson, MSN, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 816 Marin Ave Ste 125, Crookston, MN 56716 Phone: 218-521-7774 | |
Mrs. Natalie Rebecca Royal, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 323 S Minnesota St, Crookston, MN 56716 Phone: 218-281-9200 Fax: 218-281-9590 | |
Forrest Laporte, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 323 S Minnesota St, Crookston, MN 56716 Phone: 218-281-9595 | |
Lisa Danielle Wikoff Anderson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 323 S Minnesota St, Crookston, MN 56716 Phone: 218-281-9595 |