Kara Sue Ristau (NPI# 1881113546, PAC ID# 4385903301) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1881113546 |
| PAC ID by PECOS | 4385903301 |
| Professional Enrollment ID | I20180122000909 |
| Full Name | Kara Sue Ristau |
| Organization Legal Name | CUSTOM CLINIC, P.A. |
| Address |
322 S State St Fairmont MN 56031-4139 |
| Phone Number | 5072384844 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2961506860 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 241369 | UNITED HOSPITAL DISTRICT |
| Address | Phone | Organization |
|---|---|---|
| 322 S State St, Fairmont, MN 56031-4139 | 5072384844 | CUSTOM CLINIC, P.A. |
| Organization Legal Name | CUSTOM CLINIC, P.A. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy Bachenberg | Family Medicine | Custom Clinic, P.a. | 322 S State St, Fairmont, MN 56031-4139 |
| Steven W Sumey | Family Practice | Custom Clinic, P.a. | 322 S State St, Fairmont, MN 56031-4139 |
| Street Address |
322 S STATE ST |
| City | FAIRMONT |
| State | MN |
| Zip | 56031-4139 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy Bachenberg | Family Medicine | Custom Clinic, P.a. | 322 S State St, Fairmont, MN 56031-4139 |
| Steven W Sumey | Family Practice | Custom Clinic, P.a. | 322 S State St, Fairmont, MN 56031-4139 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John B Lund | Chiropractic | 118 W 2nd St, Fairmont, MN 56031-1718 | |
| Kerri L Henderson | Chiropractic | 115 /2 W Blue Earth Ave, Fairmont, MN 56031-1724 | |
| Stefanie J Jaquette | Clinical Social Worker | Krisma Counseling Inc | 117 Downtown Plz, Fairmont, MN 56031-1726 |
| Maurice L Shoen | Clinical Social Worker | Krisma Counseling Inc | 117 Downtown Plz, Fairmont, MN 56031-1726 |
| Kristine Marie Shoen | Clinical Social Worker | Krisma Counseling Inc | 117 Downtown Plz, Fairmont, MN 56031-1726 |
| Brandie J Larson | Clinical Social Worker | Krisma Counseling Inc | 117 Downtown Plz, Fairmont, MN 56031-1726 |
| Tina A Olson | Clinical Social Worker | Krisma Counseling Inc | 112 W 1st St, Suite 104, Fairmont, MN 56031-1744 |
| Joseph E Switras | Psychologist, Clinical | 208 W 2nd St, Suite 116, Fairmont, MN 56031-1843 | |
| Paul A Seibert | Optometry | Associate Optometry, P.a. | 1307 Albion Ave, Suite 102, Fairmont, MN 56031-1850 |
| Scott R Stevens | Orthopedic Surgery | United Hospital District Inc | 221 E 1st St, Fairmont, MN 56031-2810 |
| Find all physicians in zip 56031 | |||
| City | FAIRMONT |
| Zip Code | 56031 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FAIRMONT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kara Sue Ristau.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.