KRISTEN RENAE GOURNEAU NP
NPI 1285293472
Nurse Practitioner - Family in Fort Totten, ND

Active since June 11, 2019PECOS EnrolledAccepts Medicare Assignment
53.88/100
CMS Quality Rating
3883 74TH AVENUE, FORT TOTTEN, ND 58335(701) 766-1600 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kristen Renae Gourneau Np NPPES

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

KRISTEN RENAE GOURNEAU NP (NPI 1285293472) is an individual family provider in Fort Totten, North Dakota, licensed in North Dakota (R37632) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1285293472
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRISTEN RENAE GOURNEAUCredential: NP
Location Address3883 74TH AVENUEFort Totten, ND 58335-5833
Mailing Address1030 7th St NeDevils Lake, ND 58301-2720 · (218) 280-6153
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 11, 2019
NPI 1285293472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in ND · R37632
3883 74TH AVENUE, Fort Totten, ND 58335

Other Identifiers 1

OtherR37632ND · North Dakota Board Of Nursing

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kristen Renae Gourneau 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 ID3779813373
PECOS Enrollment IDI20190925000467
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.

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 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.
111 services71 patients
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.
64 services49 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
29 services22 patients

Hospital Affiliations CMS Care Compare 5

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

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Sanford Medical Center Bismarck

Acute Care Hospitals · Bismarck, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350015
Location300 N 7th StBismarck, ND 58506 · Burleigh County
Emergency services Birthing friendly

Altru Hospital

Acute Care Hospitals · Grand Forks, ND
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number350019
Location1200 S Columbia RdGrand Forks, ND 58201 · Grand Forks County
Emergency services Birthing friendly

P H S Indian Hosp At Belcourt-Quentin N Burdick

Acute Care Hospitals · Belcourt, ND
OwnershipGovernment - Federal
CMS Certification Number350063
LocationPO Box 160Belcourt, ND 58316 · Rolette County
Emergency services

Heart Of America Medical Center

Critical Access Hospitals · Rugby, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351332
Location800 S Main AveRugby, ND 58368 · Pierce County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58335 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

53.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.25
Promoting Interoperability0
Improvement Activities40
Cost36.68

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 Kristen Gourneau's NPI number?

The NPI number for Kristen Gourneau is 1285293472. It was assigned to this individual provider in the NPPES registry on June 11, 2019.

Where is Kristen Gourneau located?

Kristen Gourneau practices at 3883 74th Avenue, Fort Totten, ND 58335. The listed phone number is (701) 766-1600.

What is Kristen Gourneau's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kristen Gourneau enrolled in Medicare?

Yes. Kristen Gourneau is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kristen Gourneau accept?

Health plans from Blue Cross Blue Shield of North Dakota list Kristen Gourneau as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kristen Gourneau affiliated with any hospitals?

According to CMS data, Kristen Gourneau is affiliated with Sanford Medical Center Fargo, Sanford Medical Center Bismarck, Altru Hospital, P H S Indian Hosp At Belcourt-Quentin N Burdick and Heart Of America Medical Center.

When was this NPI record last updated?

The NPPES record for Kristen Gourneau was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.