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KARISSA GOETSCH DDS
NPI 1629426218
Dentist in Fosston, MN

Active since May 24, 2016PECOS Enrolled
109 JOHNSON AVE N, FOSSTON, MN 56542(320) 309-5882 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2023, Sep 6, 2022, Nov 1, 2019 and 1 more (4 updates tracked since 2019).

About Karissa Goetsch Dds NPPES

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

KARISSA GOETSCH DDS (NPI 1629426218) is an individual dentist in Fosston, Minnesota, licensed in Minnesota (D13671) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1629426218
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameKARISSA GOETSCHCredential: DDS
Location Address109 JOHNSON AVE NFosston, MN 56542-1327
Mailing Address109 Johnson Ave NFosston, MN 56542-1327 · (218) 435-1599
Phone(320) 309-5882
Sole ProprietorYes
Enumeration DateMay 24, 2016
Last NPPES UpdateJanuary 10, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2023
✔ NPI 1629426218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MN · D13671
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
109 JOHNSON AVE N, Fosston, MN 56542
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Secondary Practice Locations 2

Location 11611 County Highway 10Minneapolis, MN 55432-2124 · Phone (763) 717-3989
Location 27600 France Ave S Ste 1100Edina, MN 55435 · Phone (888) 964-6681 · Fax (888) 662-0859

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karissa Goetsch Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56542 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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 2

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

PRAIRIE PINES DENTAL, PLLC
Clinic/Center (Dental)
109 JOHNSON AVE N
FOSSTON, MN 56542
Polk County (320) 309-5882
DR. ROGER WAYNE SJULSON DDS
Dentist (General Practice)
109 JOHNSON AVE N
FOSSTON, MN 56542
Polk County (218) 435-1599

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 Karissa Goetsch's NPI number?

The NPI number for Karissa Goetsch is 1629426218. It was assigned to this individual provider in the NPPES registry on May 24, 2016.

Where is Karissa Goetsch located?

Karissa Goetsch practices at 109 Johnson Ave N, Fosston, MN 56542. The listed phone number is (320) 309-5882.

What is Karissa Goetsch's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Karissa Goetsch enrolled in Medicare?

Yes. Karissa Goetsch is registered in the Medicare PECOS enrollment system.

What insurance does Karissa Goetsch accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 2 other insurers list Karissa Goetsch 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 Karissa Goetsch was last updated on January 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.