| 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 |
| Location | 323 S Minnesota St, Crookston, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| 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 |
| Entity Name | Graceville Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982673620 PECOS PAC ID: 4385556885 Enrollment ID: O20031103000694 |
| 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 |
Ashley Tebay, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1820 Sahlstrom Dr Ste A, Crookston, MN 56716 Phone: 701-331-4144 Fax: 888-535-1196 | |
Mrs. Heather Lynn Waldal, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Riverview Health, 323 S Minnesota St, Crookston, MN 56716 Phone: 218-281-9595 | |
Shanon Erin Caillier, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18336 260th St Sw, Crookston, MN 56716 Phone: 218-289-2787 | |
Kelsey Susan Helgeson, MSN, APRN, PMHNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 816 Marin Ave Ste 125, Crookston, MN 56716 Phone: 218-416-4413 Fax: 218-543-8074 | |
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: Accepting Medicare Assignments Practice Location: 323 S Minnesota St, Crookston, MN 56716 Phone: 218-281-9595 |