Kristine Lynn Fastenau, NP
NPI 1083354393ActiveIndividual· Nurse Practitioner, Adult Health· Aberdeen, SD
Nurse Practitioner, Adult Health (NP) with Avera St Lukes and 1 other group, practicing in Aberdeen, South Dakota. Their prescriptions cost Medicare Part D more than their services did: $566,175 for 1,171 claims, against $26,415 paid for services in 2024. Medtronic, Inc. was the largest of 2 companies reporting payments in 2025, $134.05 in all, mostly food and beverage. Lists Avera St Lukes and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1083354393 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Apr 1, 2022 |
| Last updated in NPPES | Apr 1, 2022 |
| Certified by provider | Mar 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | CP002347 | SD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (SD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 387 |
|---|---|
| Services billed | 620 across 15 procedure codes |
| Paid by Medicare | $26,415 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,171 · 1,877 30-day fills |
|---|---|
| Patients | 279 |
| Total drug cost | $566,175 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Avera St LukesAberdeen, SD · 165 clinicians
- Marshall County Memorial HospitalBritton, SD · 10 clinicians
Hospital affiliations
- Avera St LukesAberdeen, SD
- Community Memorial HospitalRedfield, SD
- Faulkton Area Medical CenterFaulkton, SD
- Marshall County Healthcare Center - CahBritton, SD
- Sanford Medical Center AberdeenAberdeen, SD
Industry payments (Open Payments)
- 2025$134.05 · 4 payments from 2 companies
- 2024$252.45 · 8 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Medtronic, Inc. | $114.11 | 3 |
| Janssen Biotech, Inc. | $19.94 | 1 |
What the 2025 payments were for
- Food and Beverage$134.05 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records