| Jaeda Kerin Ertelt, FNP-C | |
|
726 13th Ave E, West Fargo, ND 58078-3304 | |
| (844) 398-3640 | |
| (701) 899-5971 |
| Full Name | Jaeda Kerin Ertelt |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 726 13th Ave E, West 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063062693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R36635 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sanford Medical Center Fargo | Fargo, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stellar Healthcare, Ltd | 6406031129 | 4 |
| Entity Name | Stellar Healthcare, Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760781033 PECOS PAC ID: 6406031129 Enrollment ID: O20110425000011 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaeda Kerin Ertelt, FNP-C 726 13th Ave E, West Fargo, ND 58078-3304 Ph: (844) 398-3640 | Jaeda Kerin Ertelt, FNP-C 726 13th Ave E, West Fargo, ND 58078-3304 Ph: (844) 398-3640 |
Susan C Nordquist, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 505 32nd Ave E Ste B, West Fargo, ND 58078 Phone: 701-532-1731 Fax: 701-532-1940 | |
James Troy Upton, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 505 32nd Ave E Ste B, West Fargo, ND 58078 Phone: 701-532-1731 Fax: 701-532-1940 | |
Cynthia Nicole Vingelen, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1220 Sheyenne St, West Fargo, ND 58078 Phone: 701-234-4445 | |
Evon Oteh, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1214 27th Ave W, West Fargo, ND 58078 Phone: 701-213-2670 | |
Patricia K Slyter, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1401 13th Ave E, West Fargo, ND 58078 Phone: 701-364-0060 Fax: 701-364-0065 | |
Dr. Jenna Rose Wallace, DNP, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1220 Sheyenne St, West Fargo, ND 58078 Phone: 701-234-4445 Fax: 701-234-4456 |