Kari Marie Kietzman, CNP - Medicare Nurse Practitioner in Valley City, ND

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Kari Marie Kietzman, CNP is a medicare enrolled "Nurse Practitioner - Family" in Valley City, North Dakota. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sanford Clinic North, Sanford Medical Center Fargo and her current practice location is 520 Chautauqua Blvd, Valley City, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 845-6000.

Kari Marie Kietzman is licensed to practice in North Dakota (license number R50650) 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 1568094159.

Contact Information

Kari Marie Kietzman, CNP
520 Chautauqua Blvd,
Valley City, ND 58072-3145
(701) 845-6000
(701) 845-6150

Map and Direction




Provider's Profile

Full NameKari Marie Kietzman
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location520 Chautauqua Blvd, Valley City, North Dakota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kari Marie Kietzman graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1568094159
  • Provider Enumeration Date: 02/11/2020
  • Last Update Date: 02/01/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8123412095
  • Enrollment ID: I20220218002480

Medical Identifiers

Medical identifiers for Kari Marie Kietzman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568094159NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 7230 (Minnesota)Secondary
363LF0000XNurse Practitioner - Family R50650 (North Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Chi Mercy HealthValley city, NDHospital
Sanford Medical Center FargoFargo, NDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sanford Clinic North428454615176
Sanford Medical Center Fargo84269678031085

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. Kari Marie Kietzman allows following entities to bill medicare on her behalf.
Entity NameSanford Clinic North
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942241351
PECOS PAC ID: 4284546151
Enrollment ID: O20031112000221
Entity NameSanford Medical Center Fargo
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184917924
PECOS PAC ID: 8426967803
Enrollment ID: O20110331000495

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. Kari Marie Kietzman 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 AddressPractice Location Address
Kari Marie Kietzman, CNP
Po Box 5074,
Sioux Falls, SD 57117-5074

Ph: (605) 328-6585		Kari Marie Kietzman, CNP
520 Chautauqua Blvd,
Valley City, ND 58072-3145

Ph: (701) 845-6000

Reviews and Comments


Nurse Practitioner Nurses in Valley City, ND

Teresa D Formo, APRN, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 520 Chautauqua Blvd, Valley City, ND 58072
Phone: 701-845-6000    
Sarah Ellen Hansen,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 132 4th Ave Ne, Valley City, ND 58072
Phone: 701-845-8060    
Stacie Cleveland, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 367 2nd St Nw, Valley City, ND 58072
Phone: 701-845-6550    
Trent William Bitz, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 132 4th Ave Ne, Valley City, ND 58072
Phone: 701-845-8060    
Leah Kathryn Swenson, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 132 4th Ave Ne, Valley City, ND 58072
Phone: 701-845-8060    Fax: 701-845-8067
Dr. Joann Delane Trader, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 520 Chautauqua Blvd, Valley City, ND 58072
Phone: 701-845-6000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.