Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Dylan Shawn Kaisersatt, FNP-C

Individual provider Family Nurse Practitioner · NPI 1811717200

Mr. Dylan Shawn Kaisersatt, FNP-C is a Nurse Practitioner in Bemidji, Minnesota. Qualified in 2024, 2 years ago. Practices with Sanford Health of Northern Minnesota, a 349-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
2
Licensed in
MN
In the registry since
2024
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1300 Anne St NW
Bemidji, MN 56601-5103
Phone: (218) 333-2460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 12172 (MN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 12172 (MN)

Record details

NPI number1811717200
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedOctober 11, 2024
Last updated in NPPESJanuary 8, 2025
Certification dateJanuary 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Sanford Health Of Northern Minnesota — 349 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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