Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Daniele R Krouse, PA-C, LAT, ATC

Individual provider Athletic Trainer · NPI 1720474471

Mrs. Daniele R Krouse, PA-C, LAT, ATC is a Physician Assistant in Fosston, Minnesota. Qualified in 2023, 3 years ago. Practices with First Care Medical Services, a 23-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
3
Licensed in
MN
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

900 Hilligoss Blvd SE
Fosston, MN 56542-1599
Phone: (218) 435-1212
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 400 Governor St, Oklee, MN 56742-4227 — (218) 796-4525

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 14531 (MN)
Athletic Trainer Taxonomy 2255A2300X · Licence 2623 (MN)

Record details

NPI number1720474471
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , LAT , ATC
Sole proprietorNo
NPI enumeratedApril 9, 2015
Last updated in NPPESAugust 2, 2023
Certification dateAugust 2, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice First Care Medical Services — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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