Kristina M Childress, APRN, CNP in Fargo, ND - Medicare Nurse Practitioner

Kristina M Childress, APRN, CNP is a medicare enrolled "Nurse Practitioner - Family" in Fargo, North Dakota. She went to University Of North Dakota School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Innovis Health Llc, St Marys Regional Health Center and her current practice location is 3000 32nd Ave S, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 364-8000.

Kristina M Childress is licensed to practice in North Dakota (license number R30216) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1568877322.

Contact Information

	Kristina M Childress, APRN, CNP
	3000 32nd Ave S, Fargo, ND 58103-6132
	(701) 364-8000
	(701) 364-8078

Map and Direction

Provider's Profile

Full Name	Kristina M Childress
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	3000 32nd Ave S, Fargo, North Dakota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kristina M Childress attended and graduated from University Of North Dakota School Of Medicine in 2014

NPI Data:

NPI Number: 1568877322
Provider Enumeration Date: 06/30/2014
Last Update Date: 05/28/2020

Medicare PECOS Information:

PECOS PAC ID: 7517186455
Enrollment ID: I20140908002784

Medical Identifiers

Medical identifiers for Kristina M Childress such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568877322	NPI	-	NPPES
1460305	Medicaid	ND

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2934 (Minnesota)	Secondary
363LF0000X	Nurse Practitioner - Family	R30216 (North Dakota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Essentia Health	Fargo, ND	Hospital
Essentia Health St Marys - Detroit Lakes	Detroit lakes, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Innovis Health Llc	9931298155	473
St Marys Regional Health Center	2062326820	159

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kristina M Childress allows following entities to bill medicare on her behalf.

Entity Name	Innovis Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215125463 PECOS PAC ID: 9931298155 Enrollment ID: O20071211000158

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristina M Childress is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kristina M Childress, APRN, CNP 1702 University Dr S, Fargo, ND 58103-4940 Ph: () -	Kristina M Childress, APRN, CNP 3000 32nd Ave S, Fargo, ND 58103-6132 Ph: (701) 364-8000

Reviews and Comments

Nurse Practitioner Nurses in Fargo, ND

Wendy M Moore, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 901 28th St S, Fargo, ND 58103 Phone: 701-404-1100 Fax: 701-540-6498
Mrs. Kayla L. Nelson, DNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Np Ave N, Fargo, ND 58102 Phone: 701-271-3344
Kyrie Marie Severson, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4622 40th Ave S, Suite A, Fargo, ND 58104 Phone: 701-364-2909 Fax: 701-364-9822
Sadie Marie Nelson, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Sanford Broadway Clinic, 801 North Broadway, Fargo, ND 58102 Phone: 701-234-2000
Jessica Smolen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 321 8th Ave N, Fargo, ND 58102 Phone: 701-234-2525
Mr. Nicholas Henry Frederiksen, APRN,CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 Fax: 701-364-8078
Erin Marie Wilmes Reiniger, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4671 38th St S, Fargo, ND 58104 Phone: 701-404-5100 Fax: 701-499-1166

Kristina M Childress, APRN, CNP - Medicare Nurse Practitioner in Fargo, ND