DR. KRISTIN ALLISON TIEDT M.D.
NPI 1043657919
Pediatrics in Minneapolis, MN
About Dr. Kristin Allison Tiedt M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KRISTIN ALLISON TIEDT M.D. (NPI 1043657919) is an individual pediatrics provider in Minneapolis, Minnesota, licensed in Minnesota (80568) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2008).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Kristin Allison Tiedt M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55454 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
MINNEAPOLIS, MN 55454
MINNEAPOLIS, MN 55454
MINNEAPOLIS, MN 55454
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 Tiedt's NPI number?
The NPI number for Kristin Tiedt is 1043657919. It was assigned to this individual provider in the NPPES registry on May 31, 2013. The provider is also known as Kristin Allison Sprock.
Where is Kristin Tiedt located?
Kristin Tiedt practices at 2450 Riverside Ave, Minneapolis, MN 55454. The listed phone number is (612) 672-6000.
What is Kristin Tiedt's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Kristin Tiedt enrolled in Medicare?
Yes. Kristin Tiedt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Kristin Tiedt was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# Dr. Kristin Allison Tiedt, M.D. · NPI 1043657919
Pediatrics physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since May 31, 2013.
## Identity
- **NPI:** 1043657919 (Entity type: Individual)
- **Enumerated:** May 31, 2013
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 80568 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2450 RIVERSIDE AVE, Minneapolis, MN 55454-1450
- **Phone:** (612) 672-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Iowa, Rj & L Carver College Of Medicine, class of 2008
## Record status
- **NPPES last updated:** November 5, 2025
- **Other identifiers:** Medicaid 201169230 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1043657919) · Data from the CMS NPPES public registry.