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

Mrs. McKenzie Ann Disrud, FNP

Individual provider Surgical Physician Assistant · NPI 1265093124

Mrs. McKenzie Ann Disrud, FNP is a Nurse Practitioner in Grand Forks, North Dakota. Graduated from University of North Dakota School of Medicine in 2019, 7 years ago. Practices with Legacy Medical LLC, a 20-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Dakota.

Years since qualifying
7
Trained at
University of North Dakota School of Medicine
Licensed in
ND
In the registry since
2019
Specialties on file
3
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

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Practice location Address checks out

2100 S Columbia Rd Ste 114
Grand Forks, ND 58201-5895
Phone: (701) 516-4637
Fax: (877) 651-1381
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RH1306 (ND)
Surgical Physician Assistant Taxonomy 363AS0400X
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F06191893 (ND)

Record details

NPI number1265093124
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJune 21, 2019
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 30, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Legacy Medical Llc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients47
Services billed 94 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $16 1 payment · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Altru Hospital Hospital · Grand Forks, ND
  • Hia Hospice Hospice · Fargo, ND

Colleagues at Legacy Medical LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 20 clinicians in the practice; 9 are shown here.

Other providers in Grand Forks