KRISTOFER SETTERSTROM
NPI 1093560708
Student in an Organized Health Care Education/Training Program in Saint Paul, MN

Active since April 17, 2024PECOS Enrolled
1414 MARYLAND AVE E, SAINT PAUL, MN 55106(651) 772-3461 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristofer Setterstrom NPPES

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

KRISTOFER SETTERSTROM (NPI 1093560708) is an individual student in an organized health care education/training program in Saint Paul, Minnesota and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093560708
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKRISTOFER SETTERSTROM
Location Address1414 MARYLAND AVE ESaint Paul, MN 55106-2824
Mailing Address1414 Maryland Ave ESaint Paul, MN 55106-2824
Sole ProprietorNo
Enumeration DateApril 17, 2024
NPPES CertifiedApril 17, 2024
NPI 1093560708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1414 MARYLAND AVE E, Saint Paul, MN 55106

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kristofer Setterstrom is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
Student in an Organized Health Care Education/Training Program
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
Student in an Organized Health Care Education/Training Program
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
General Practice
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
Student in an Organized Health Care Education/Training Program
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
Family Medicine
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
Family Medicine
1414 MARYLAND AVE E, UMPHYSICIANS PHALEN VILLAGE CLINIC
ST. PAUL, MN 55106
Family Medicine
1414 MARYLAND AVE E, UMPHYSICIANS PHALEN VILLAGE CLINIC
ST. PAUL, MN 55106

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristofer Setterstrom's NPI number?

The NPI number for Kristofer Setterstrom is 1093560708. It was assigned to this individual provider in the NPPES registry on April 17, 2024.

Where is Kristofer Setterstrom located?

Kristofer Setterstrom practices at 1414 Maryland Ave E, Saint Paul, MN 55106. The listed phone number is (651) 772-3461.

What is Kristofer Setterstrom's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kristofer Setterstrom enrolled in Medicare?

Yes. Kristofer Setterstrom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristofer Setterstrom was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.