KRISTIN A WITTE D.O.
NPI 1013118173
Family Medicine in Shakopee, MN
About Kristin A Witte D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTIN A WITTE D.O. (NPI 1013118173) is an individual family medicine provider in Shakopee, Minnesota, licensed in Minnesota (51462) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kristin A Witte D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kristin Witte reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bloomington, MN 55420
- Reassigned Medicare billing, Minnesota enrollment
- 2,274 clinicians in this Medicare group
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Park Nicollet Clinic
- 2,527 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55379 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PRIOR LAKE, MN 55379
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kristin Witte's NPI number?
The NPI number for Kristin Witte is 1013118173. It was assigned to this individual provider in the NPPES registry on May 29, 2007.
Where is Kristin Witte located?
Kristin Witte practices at 1415 Saint Francis Ave, Shakopee, MN 55379. The listed phone number is (952) 993-7750.
What is Kristin Witte's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kristin Witte enrolled in Medicare?
Yes. Kristin Witte is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kristin Witte's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Witte reassigns Medicare benefits to 2 organizations: Group Health, Inc. (Bloomington, MN) and Park Nicollet Methodist Hospital (St Louis Park, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristin Witte's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kristin Witte was last updated on October 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kristin A Witte, D.O. · NPI 1013118173
Family Medicine physician in Shakopee, Minnesota. Individual provider, active in the CMS NPPES registry since May 29, 2007.
## Identity
- **NPI:** 1013118173 (Entity type: Individual)
- **Enumerated:** May 29, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 51462 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1415 SAINT FRANCIS AVE, Shakopee, MN 55379-3374
- **Phone:** (952) 993-7750
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Group Health, Inc. (NPI 1922153881, Bloomington, MN); Park Nicollet Methodist Hospital (NPI 1194113217, St Louis Park, MN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 10, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1013118173) · Data from the CMS NPPES public registry.