KRISTINE LYNN FASTENAU NP
NPI 1083354393
Nurse Practitioner - Adult Health in Aberdeen, SD

Q: What is Kristine Fastenau's NPI number?

The NPI number for Kristine Fastenau is 1083354393. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Q: What is Kristine Fastenau's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Kristine Fastenau was last updated on April 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 01, 2022PECOS EnrolledAccepts Medicare Assignment

310 S PENN ST STE 203, ABERDEEN, SD 57401(605) 225-7326 Get Directions Write a Review

NPPES record last updated: April 1, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Kristine Lynn Fastenau Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTINE LYNN FASTENAU NP (NPI 1083354393) is an individual adult health provider in Aberdeen, South Dakota, licensed in South Dakota (CP002347) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Avera St Lukes, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1083354393

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameKRISTINE LYNN FASTENAUCredential: NP

Location Address310 S PENN ST STE 203Aberdeen, SD 57401-4553

Mailing Address310 S Penn St Ste 203Aberdeen, SD 57401-4553 · (605) 225-7326

Phone(605) 225-7326

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 1, 2022

NPPES CertifiedMarch 14, 2022

✔ NPI 1083354393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in SD · CP002347

310 S PENN ST STE 203, Aberdeen, SD 57401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Wellmark of South Dakota, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristine Lynn Fastenau Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143609388

PECOS Enrollment IDI20220620000195

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Kristine Fastenau reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Avera St. Luke's

Same address

Urology

310 S PENN ST STE 202
Aberdeen, SD 57401

Reassigned Medicare billing, South Dakota enrollment
Medicare enrollment name: Avera St Lukes
259 clinicians in this Medicare group

NPI 1205090206 (605) 225-7326

Marshall County Memorial Hospital

42 mi

Rural Health

415 9TH ST
Britton, SD 57430

Reassigned Medicare billing, South Dakota enrollment
8 clinicians in this Medicare group

NPI 1902280837 (605) 448-5953

Avera Mckennan

70 mi

Clinic/Center

300 W 5TH ST
Miller, SD 57362

Reassigned Medicare billing, South Dakota enrollment
1,277 clinicians in this Medicare group

NPI 1083679625 (605) 853-0158

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

333 services237 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

126 services126 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

110 services90 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Avera St Lukes

Acute Care Hospitals · Aberdeen, SD

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number430014

Location305 S State St Post Office Box 4450Aberdeen, SD 57401 · Brown County

Emergency services Birthing friendly

Sanford Medical Center Aberdeen

Acute Care Hospitals · Aberdeen, SD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430097

Location2905 3rd Ave SEAberdeen, SD 57402 · Brown County

Emergency services Birthing friendly

Faulkton Area Medical Center

Critical Access Hospitals · Faulkton, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431301

Location1300 Oak Street Post Office Box 100Faulkton, SD 57438 · Faulk County

Emergency services

Marshall County Healthcare Center - Cah

Critical Access Hospitals · Britton, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431312

Location413 9th StreetBritton, SD 57430 · Marshall County

Emergency services

Community Memorial Hospital

Critical Access Hospitals · Redfield, SD

OwnershipGovernment - Local

CMS Certification Number431316

Location111 W 10th Ave Post Office Box 420Redfield, SD 57469 · Spink County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.21 typical visit price

range $55.52 – $167.23

Typical copayment $21.30 (range $13.88 – $41.80)

Most-billed visit code 99203

Established Patient

$97.88 typical visit price

range $18.08 – $137.08

Typical copayment $24.47 (range $4.52 – $34.27)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIC SAMUEL LEICHTER MD

Urology