First Nations individuals with CKD who reside in communities served by Nursing Stations (most remote communities) when supplemented by additional Indigenous programs were consistently more likely to receive follow-up serum creatinine (OR 1.37, 95% CI: 1.30-1.45, p<0.001), urine ACR (OR 1.22, 95% CI: 1.16-1.28, p<0.001), serum potassium (OR 1.40, 95% CI: 1.32-1.49, p<0.001) than individuals who lived in communities served by Nursing Stations alone, Health Centres, Health Offices, or Off Reserve. Here, ACR is linked to chronic kidney disease.