2026 NPPES data Adult Health Nurse Practitioner NPI 1083354393 NP
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KRISTINE FASTENAU, NP

Adult Health Nurse Practitioner in ABERDEEN, South Dakota. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
689
Medicare Part D claims · 206 beneficiaries · Adult Health Nurse Practitioner avg: 1K
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$252.45
8 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

KRISTINE FASTENAU, NP filed 689 Medicare Part D claims in 2023 as a Adult Health Nurse Practitioner in ABERDEEN, South Dakota, prescribing 85% generic.

689
Part D claims, 2023
85%
generic prescribing
$252.45
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

KRISTINE FASTENAU, NP's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

689 Top 31% higher than 69% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). This entry sits in this band. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about KRISTINE FASTENAU, NP?

Quality data not reported

NPI registry status

Active

Issued 04/01/2022

NPI 1083354393

Primary specialty

Adult Health Nurse Practitioner

Mid-sized

29,492 US NPIs in this specialty

Medicare Part D claims

689 43% vs specialty avg

2023 prescription claims

Specialty avg: 1,201

Specialty distribution in South Dakota

How Adult Health Nurse Practitioner compares to other specialties among South Dakota providers

South Dakota providers

Adult Health Nurse Practitioner share within South Dakota

1. Adult Health Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Health Nurse Practitioner share within South Dakota

Specialty board-certification context

Estimated specialty board-certified rate — Adult Health Nurse Practitioner (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Adult Health Nurse Practitioner ABMS/AOA estimate

Est. board-certified rate (Adult Health Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Adult Health Nurse Practitioner) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

KRISTINE FASTENAU, NP is a Adult Health Nurse Practitioner provider practicing in ABERDEEN, South Dakota, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: NP. NPI: 1083354393. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

KRISTINE FASTENAU, NP appears in the CMS NPPES registry as a Adult Health Nurse Practitioner provider holding NP credentials at 310 S PENN ST STE 203, ABERDEEN, SD, 57401, with a listed phone of (605) 225-7326. NPI 1083354393 was issued on 04/01/2022. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FASTENAU most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 689 prescription claims written by this provider, covering 206 Medicare beneficiaries and totaling roughly $573K in drug spend, split 15% brand-name and 85% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Adult Health Nurse Practitioner is a mid-sized specialty nationwide, with 29,492 enrolled providers across 55 states and an average of 1,201 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

310 S PENN ST STE 203
ABERDEEN, SD 57401

Provider Details

NPI 1083354393
Specialty Adult Health Nurse Practitioner
Credentials NP
Gender Female
NPI Issued 04/01/2022

Hospital and facility affiliations

Facilities where KRISTINE FASTENAU, NP bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

AVERA ST LUKES
★★★★☆ 4/5
ABERDEEN, SD
Acute Care Hospitals
CMS CCN: 430014
MARSHALL COUNTY MEMORIAL HOSPITAL
BRITTON, SD

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for KRISTINE FASTENAU, NP. Source: openpaymentsdata.cms.gov.

Total received

$252

Largest payer

Axonics, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Typical

KRISTINE FASTENAU, NP — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 689 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

689
Total Claims
$573K
Total Drug Cost
206
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,079
Total Day Supply
27,883
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$559K
Generic Drug Cost
$14K
Antibiotic Claims
156

Patient Demographics

Average Patient Age
74.6 years
Avg HCC Risk Score
1.19
Gender Split
30% female / 70% male
Age Distribution
<65: 16, 65-74: 92, 75-84: 69, 85+: 29

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Tamsulosin Hcl
137
Finasteride
134
Myrbetriq
Mirabegron
45
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
42
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
37
Oxybutynin Chloride Er
Oxybutynin Chloride
32
Erleada
Apalutamide
30
Ciprofloxacin Hcl
26
Estradiol
26
Cefdinir
20

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Adult Health Nurse Practitioner Overview

How KRISTINE FASTENAU, NP fits within the Adult Health Nurse Practitioner landscape nationally.

29,492
Adult Health Nurse Practitioner Providers in US
55
States with Adult Health Nurse Practitioner
1,201
Avg Claims per Provider

KRISTINE FASTENAU, NP's 689 claims are below the specialty average of 1,201.

Nearby Adult Health Nurse Practitioner Providers in South Dakota

Other clinicians with the same primary specialty enrolled in South Dakota, drawn from the same CMS NPPES roster as FASTENAU.

Compare Adult Health Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is KRISTINE FASTENAU, NP's specialty?
KRISTINE FASTENAU, NP specializes in Adult Health Nurse Practitioner and practices in ABERDEEN, South Dakota. Credentials: NP.
How much does KRISTINE FASTENAU, NP prescribe under Medicare Part D?
In 2023, KRISTINE FASTENAU, NP wrote 689 Medicare Part D claims totaling $573K in drug costs for 206 beneficiaries.
Where is KRISTINE FASTENAU, NP located?
KRISTINE FASTENAU, NP is located at 310 S PENN ST STE 203, ABERDEEN, SD, 57401. Phone: (605) 225-7326.
What is KRISTINE FASTENAU, NP's NPI number?
KRISTINE FASTENAU, NP's National Provider Identifier (NPI) is 1083354393, issued on 04/01/2022.
Does KRISTINE FASTENAU, NP prescribe more brand-name or generic drugs?
KRISTINE FASTENAU, NP's prescribing is 15% brand-name and 85% generic drugs by claim count, with $559K in brand drug costs.
How many Adult Health Nurse Practitioner providers are there in the US?
There are 29,492 Adult Health Nurse Practitioner providers across 55 states in the US. The average Adult Health Nurse Practitioner provider writes 1,201 Medicare Part D claims per year.
What drugs does KRISTINE FASTENAU, NP prescribe most often?
Based on 2023 Medicare Part D data, KRISTINE FASTENAU, NP's most frequently prescribed drugs include Tamsulosin Hcl, Finasteride, Myrbetriq. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KRISTINE FASTENAU, NP accept Medicare?
KRISTINE FASTENAU, NP appears in CMS Medicare data with 689 Part D claims and 206 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KRISTINE FASTENAU, NP's credentials?
KRISTINE FASTENAU, NP's NPI is 1083354393 with credentials NP. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology