1. Home
  2. Directory
  3. Minnesota
  4. Saint Paul
  5. Nurse Practitioner
  6. NPI Profile

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

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: November 01, 2026.

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
Open in Google Maps ↗

Other Identifiers 2

Medicaid434716100MN
Medicare UPINS47785

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kimmy Oberstar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Childrens Health Care
0.1 mi
Multi-Specialty
345 NORTH SMITH AVENUE, CHILDRENS SPECIALTY CLINICS STPL
St Paul, MN 55102
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Children's Health Care
  • 551 clinicians in this Medicare group
NPI 1225132566 (651) 220-6000
Range Regional Health Services
171 mi
General Acute Care Hospital
750 E 34TH ST
Hibbing, MN 55746
  • Reassigned Medicare billing, Minnesota enrollment
  • 707 clinicians in this Medicare group
NPI 1356321699 (218) 262-4881

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 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.

Which organizations bill Medicare for Kimmy Oberstar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimmy Oberstar reassigns Medicare benefits to 2 organizations: Childrens Health Care (St Paul, MN) and Range Regional Health Services (Hibbing, 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 Kimmy Oberstar'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 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 14 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.