KIMMY S OBERSTAR CPNP, PMHS
NPI 1043323678
Nurse Practitioner - Pediatrics in Saint Paul, MN

Q: What is Kimmy Oberstar's NPI number?

The NPI number for Kimmy Oberstar is 1043323678. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Q: What is Kimmy Oberstar's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Kimmy Oberstar was last updated on August 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since August 17, 2006PECOS Enrolled

360 SHERMAN ST STE 200, CHILDRENS SPECIALTY CLINIC PSYCHOLOGICAL SERVICES STPL, SAINT PAUL, MN 55102(651) 220-6720(651) 220-6707 Get Directions Write a Review

NPPES record last updated: August 24, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kimmy S Oberstar Cpnp, Pmhs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMMY S OBERSTAR CPNP, PMHS (NPI 1043323678) is an individual pediatrics provider in Saint Paul, Minnesota, licensed in Minnesota (R1115279) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043323678

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameKIMMY S OBERSTARCredential: CPNP, PMHS

Location Address360 SHERMAN ST STE 200, CHILDRENS SPECIALTY CLINIC PSYCHOLOGICAL SERVICES STPLSaint Paul, MN 55102-2567

Mailing Address2910 Centre Pointe Drive, Childrens Health CareRoseville, MN 55113 · (651) 855-2327 · Fax (651) 855-2310

Phone(651) 220-6720

Fax(651) 220-6707

Sole ProprietorNo

Enumeration DateAugust 17, 2006

Last NPPES UpdateAugust 24, 2012

✔ NPI 1043323678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in MN · R1115279

360 SHERMAN ST STE 200, Saint Paul, MN 55102

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Other Identifiers 2

Medicaid434716100MN

Medicare UPINS47785

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimmy S Oberstar Cpnp, Pmhs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CLAUDIA CAMPO-SORIA MD

Psychiatry & Neurology (Child & Adolescent Psychiatry)

360 SHERMAN ST STE 200
SAINT PAUL, MN 55102

Ramsey County (651) 220-6720

SANDRA AHUMADA PHD

Psychologist (Clinical Child & Adolescent)

360 SHERMAN ST STE 200
SAINT PAUL, MN 55102

Ramsey County (651) 220-6720

EMPOWERING BEHAVIORAL SOLUTIONS LLC

Behavior Analyst

360 SHERMAN ST STE 200
SAINT PAUL, MN 55102

Ramsey County (612) 532-7542

KATHLEEN WOODS HOOGERHYDE PHD, LP

Psychologist (Clinical)

360 SHERMAN ST STE 200
SAINT PAUL, MN 55102

Ramsey County (651) 220-6720

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 Kimmy Oberstar's NPI number?

The NPI number for Kimmy Oberstar is 1043323678. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Kimmy Oberstar located?

Kimmy Oberstar practices at 360 Sherman St Ste 200 Childrens Specialty Clinic Psychological Services Stpl, Saint Paul, MN 55102. The listed phone number is (651) 220-6720.

What is Kimmy Oberstar's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kimmy Oberstar enrolled in Medicare?

Yes. Kimmy Oberstar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimmy Oberstar was last updated on August 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.