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: July 19, 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
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

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.

Psychologist (Clinical)
360 SHERMAN ST STE 200
SAINT PAUL, MN 55102
Psychiatry & Neurology (Child & Adolescent Psychiatry)
360 SHERMAN ST STE 200
SAINT PAUL, MN 55102
Psychologist (Clinical Child & Adolescent)
360 SHERMAN ST STE 200
SAINT PAUL, MN 55102
Behavior Analyst
360 SHERMAN ST STE 200
SAINT PAUL, MN 55102

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043323678, enumerated as an "individual" on August 17, 2006.

The provider is located at 360 SHERMAN ST STE 200 CHILDRENS SPECIALTY CLINIC PSYCHOLOGICAL SERVICES STPL SAINT PAUL, MN 55102 and the phone number is (651) 220-6720.

Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.