NPI 1083212625 · live from the CMS NPI Registry
Kele Ferreira, PA-C
Physician Assistant in Grand Forks, ND. National Provider Identifier 1083212625, active.
NPI record
| NPI | 1083212625 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 3674 S Washington St, Grand Forks, ND 58201 |
| Practice phone | 701-205-3000 |
| Mailing address | Po Box 5210, Grand Forks, ND 58206 |
| Enumerated | October 15, 2020 |
| Last updated | January 22, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | PAC0974 (ND) |
| Physician Assistant | 363A00000X | 1825 (NH) |
| Physician Assistant | 363A00000X | 14228 (MN) |
| Physician Assistant, Medical | 363AM0700X | PA9113712 (FL) |
| Physician Assistant, Medical | 363AM0700X | MA061930 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.