DR. CHRISTIAN KISHLOCK MD
NPI 1316407133
Family Medicine in Moorhead, MN

NPI Status: Active since March 20, 2019

Contact Information

4000 28TH AVE S
MOORHEAD, MN
ZIP 56560
Phone: (701) 234-3200

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  • Individual
  • Female
  • Years of Experience 7
  • Family Medicine
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About CHRISTIAN KISHLOCK

This page provides the complete NPI Profile along with additional information for Christian Kishlock, a primary care provider established in Moorhead, Minnesota with a medical specialization in Family Medicine and more than 7 years of experience. The healthcare provider is registered in the NPI registry with number 1316407133 assigned on March 2019. The practitioner's primary taxonomy code is 207Q00000X with license number 73025 (MN). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1316407133
Provider Name
DR. CHRISTIAN KISHLOCK MD
Gender
Female
Entity Type
Individual
Location Address
4000 28TH AVE S MOORHEAD, MN 56560
Location Phone
(701) 234-3200
Mailing Address
PO BOX 5074 SIOUX FALLS, SD 57117
Medical School Name
OTHER
Graduation Year
2019
Is Sole Proprietor?
No
Enumeration Date
03-20-2019
Last Update Date
07-08-2024
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A primary care provider (PCP) like Christian Kishlock sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
73025
License State
MN
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCare Gold $25 PCP Copay ($5 Value Based Drug List) - PPO
  • BlueCare Silver $45 PCP Copay ($5 Value Based Drug List) - PPO
  • BlueDirect Bronze 100 HSA Eligible ($7500 Deductible / $5 Preventive Drug List) - PPO
  • BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List) - PPO
  • BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List) - PPO
  • BlueEssential Catastrophic 100 $9200 Deductible - PPO
  • BlueValue Bronze $50 PCP Copay (Standardized plan) - PPO
  • BlueValue Gold $30 PCP Copay (Standardized plan) - PPO
  • BlueValue Silver $40 PCP Copay (Standardized plan) - PPO
  • DakotaBlue Altru Gold ($5 Value Based Drug List) - PPO
  • DakotaBlue Altru Silver ($5 Value Based Drug List) - PPO
  • DakotaBlue Trinity Gold ($5 Value Based Drug List) - PPO
  • DakotaBlue Trinity Silver ($5 Value Based Drug List) - PPO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze HSA - EPO
  • Medica Individual Choice Bronze Share - EPO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - EPO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - EPO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - EPO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - EPO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - EPO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - EPO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - EPO
  • Medica Individual Choice Silver Standard - HMO
  • Sanford Individual TRUE $1,750 - HMO
  • Sanford Individual TRUE $3,500 - HMO
  • Sanford Individual TRUE $4,750 - HMO
  • Sanford Individual TRUE $6,000 - HMO
  • Sanford Individual TRUE $7,100 HSA Qualified - HMO
  • Sanford Individual TRUE $9,200 - HMO
  • Sanford Individual TRUE Standardized $1,500 - HMO
  • Sanford Individual TRUE Standardized $5,000 - HMO
  • Sanford Individual TRUE Standardized $7,500 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Christian Kishlock is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Christian Kishlock is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 1456687011

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20230502002764, I20240822003530

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $21.45 for a new patient copayment and $24.65 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 56560 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $85.82
  • Minimum New Patient Price $56
  • Maximum New Patient Price $168.28
  • Average New Patient Copayment $21.45
  • Minimum New Patient Copayment $14
  • Maximum New Patient Copayment $42.07

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $98.61
  • Minimum Established Patient Price $18.32
  • Maximum Established Patient Price $138.04
  • Average Established Patient Copayment $24.65
  • Minimum Established Patient Copayment $4.58
  • Maximum Established Patient Copayment $34.51

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Christian Kishlock is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
SANFORD MEDICAL CENTER FARGO801 BROADWAY NORTH
FARGO, ND 58122
(701) 234-2000Acute Care Hospitals

Reviews for DR. CHRISTIAN KISHLOCK MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1316407133
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2326801416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 2 + 6 + 8 + 0 + 1 + 4 + 1 + 6 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1316407133 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205240900 AMANDA ONEY NP
Individual
Nurse Practitioner (Pediatrics)4000 28TH AVE S
MOORHEAD, MN 56560
(701) 234-3200
1619288602 DONALD R. GULLICKS MD
Individual
Obstetrics & Gynecology4000 28TH AVE S
MOORHEAD, MN 56560
(701) 234-3200
1114314093 AMY JOY BRO CNP
Individual
Nurse Practitioner4000 28TH AVE S
MOORHEAD, MN 56560
(701) 234-3200
1093953366DR. JOHN MICHAEL TINJUM M.D.
Individual
Internal Medicine4000 28TH AVE S
MOORHEAD, MN 56560
(701) 234-3261
1336334606 MELISSA ANN KUNKEL M.D.
Individual
Pediatrics4000 28TH AVE S
MOORHEAD, MN 56560
(701) 234-3200
1083992002 SAMANTHA J PERLEBERG M.D.
Individual
Pediatrics4000 28TH AVE S
MOORHEAD, MN 56560
(701) 234-3200
1447772470DR. DUSTIN JOEL CZAPIEWSKI NP-C
Individual
Nurse Practitioner (Family)4000 28TH AVE S
MOORHEAD, MN 56560
(701) 234-3200
1679669139DR. ERIC CARL SWENSEN M.D.
Individual
Psychiatry & Neurology (Psychiatry)4000 28TH AVE S
MOORHEAD, MN 56560
(701) 234-3200
1245725100 AHMED HAYOW
Individual
Psychiatry & Neurology (Psychiatry)4000 28TH AVE S
MOORHEAD, MN 56560
(701) 234-3200
1013534270 CARLEY MARIE BAYER
Individual
Nurse Practitioner (Adult Health)4000 28TH AVE S
MOORHEAD, MN 56560
(701) 234-3200
1356881130 AMBER DEW MSW, LCSW, LAC
Individual
Counselor (Addiction (Substance Use Disorder))4000 28TH AVE S
MOORHEAD, MN 56560
(701) 234-3200
1558044255 SARA DUKART APRN
Individual
Nurse Practitioner (Psychiatric/Mental Health)4000 28TH AVE S
MOORHEAD, MN 56560
(701) 234-6999
1659053189 MATTHEW KRAMER PHD
Individual
Psychologist4000 28TH AVE S
MOORHEAD, MN 56560
(701) 234-3200
1801427984 MARI GOLDEN LICSW
Individual
Social Worker (Clinical)4000 28TH AVE S
MOORHEAD, MN 56560
(701) 234-3239
1801456140 LEJLA GASEVIC MD
Individual
Psychiatry & Neurology (Psychiatry)4000 28TH AVE S
MOORHEAD, MN 56560
(701) 234-3200
1366788663 JULIE A DOKKEN LPCC
Individual
Counselor (Professional)4000 28TH AVE S
MOORHEAD, MN 56560
(701) 234-3200
1396310546 MOLLIE HAUSER
Individual
Counselor (Professional)4000 28TH AVE S
MOORHEAD, MN 56560
(701) 234-3200
1124122783SANFORD MEDICAL CENTER FARGO
Organization
Pharmacy (Clinic Pharmacy)4000 28TH AVE S
MOORHEAD, MN 56560
(701) 234-3250
1093134462 KYRA DECKER MSN, AGACNP-BC
Individual
Nurse Practitioner4000 28TH AVE S
MOORHEAD, MN 56560
(701) 234-3261
1992939177DR. ANDREA KAUFFMAN WESTBY M.D.
Individual
Family Medicine4000 28TH AVE S
MOORHEAD, MN 56560
(701) 234-3200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316407133, enumerated in the NPI registry as an "individual" on March 20, 2019

The provider is located at 4000 28th Ave S Moorhead, Mn 56560 and the phone number is (701) 234-3200

The provider's speciality is Family Medicine with taxonomy code 207Q00000X

The provider has more than 7 years of experience.

The provider might be accepting Accepts: Blue Cross Blue Shield of North Dakota, Medica and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $85.82 with an average copayment of $21.45 for new patient appointments. Established patients should expect a typical charge of $98.61 and an average copayment of 24.65. Please review your insurance plan or contact the provider directly to determine your specific costs.

The practitioner is affiliated to the following hospital(s): SANFORD MEDICAL CENTER FARGO. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on March 20, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.