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KENDRA JO KISNER MS, RDN, LRD
NPI 1376408104
Dietitian, Registered in Fargo, ND

Active since December 23, 2025
1717 UNIVERSITY DR S, FARGO, ND 58103(701) 234-4111 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 30, 2025, Dec 23, 2025 (2 updates tracked since 2025).

About Kendra Jo Kisner Ms, Rdn, Lrd NPPES

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

KENDRA JO KISNER MS, RDN, LRD (NPI 1376408104) is an individual dietitian, registered in Fargo, North Dakota, licensed in North Dakota (1693) and active in the NPI registry since December 2025. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1376408104
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKENDRA JO KISNERCredential: MS, RDN, LRD
Location Address1717 UNIVERSITY DR SFargo, ND 58103-4939
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Phone(701) 234-4111
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 23, 2025
Last NPPES UpdateDecember 30, 20252 updates tracked since enumeration
NPPES CertifiedDecember 30, 2025
✔ NPI 1376408104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in ND · 1693
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
1717 UNIVERSITY DR S, Fargo, ND 58103
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kendra Jo Kisner Ms, Rdn, Lrd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537645510
PECOS Enrollment IDI20260108004093

Medicare Billing Reassignment

Medicare enrollment records show Kendra Kisner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sanford Medical Center Fargo
3.3 mi
Occupational Medicine
3838 12TH AVE N
Fargo, ND 58102
  • Reassigned Medicare billing, North Dakota enrollment
  • 1,464 clinicians in this Medicare group
NPI 1952323974 (701) 234-4700

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

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.

KATHRYN OLSON FNP
Nurse Practitioner (Family)
1717 UNIVERSITY DR S
FARGO, ND 58103
Cass County (701) 234-4111
AHMED MOHAMED ELSAYED KASSEM M.D
Ophthalmology
1717 UNIVERSITY DR S
FARGO, ND 58103
Cass County (701) 461-5100
KATAYOON BARADARAN EBRAHIMI M.D.
Ophthalmology
1717 UNIVERSITY DR S
FARGO, ND 58103
Cass County (701) 461-5100
LUIS A GARCIA MD
Surgery
1717 UNIVERSITY DR S
FARGO, ND 58103
Cass County (701) 234-2000
ETERN S PARK DDS, MD
Dentist (Oral and Maxillofacial Surgery)
1717 UNIVERSITY DR S
FARGO, ND 58103
Cass County (701) 234-2000
KATHERINE S OLSON LRD
Dietitian, Registered
1717 UNIVERSITY DR S
FARGO, ND 58103
Cass County (701) 234-2000
DR. LAUREN MARIE SCHAEFER PHD, LP
Psychologist
1717 UNIVERSITY DR S
FARGO, ND 58103
Cass County (701) 234-4111
KELSEY R HERRICK LRD
Dietitian, Registered
1717 UNIVERSITY DR S
FARGO, ND 58103
Cass County (701) 234-2000

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 Kendra Kisner's NPI number?

The NPI number for Kendra Kisner is 1376408104. It was assigned to this individual provider in the NPPES registry on December 23, 2025.

Where is Kendra Kisner located?

Kendra Kisner practices at 1717 University Dr S, Fargo, ND 58103. The listed phone number is (701) 234-4111.

What is Kendra Kisner's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Kendra Kisner enrolled in Medicare?

Yes. Kendra Kisner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kendra Kisner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kendra Kisner reassigns Medicare benefits to Sanford Medical Center Fargo (Fargo, ND). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kendra Kisner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kendra Kisner accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Kendra Kisner 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.

When was this NPI record last updated?

The NPPES record for Kendra Kisner was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.