RENEE M KINNEY DDS
NPI 1063738847
Dentist in Woodbury, MN
About Renee M Kinney Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RENEE M KINNEY DDS (NPI 1063738847) is an individual dentist in Woodbury, Minnesota, licensed in Minnesota (D12789) and active in the NPI registry since April 2010. 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)
Renee M Kinney Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Renee Kinney reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
St. Paul, MN 55101
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Gillette Childrens Specialty Healthcare
- 304 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 55125 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 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WOODBURY, MN 55125
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 Renee Kinney's NPI number?
The NPI number for Renee Kinney is 1063738847. It was assigned to this individual provider in the NPPES registry on April 19, 2010.
Where is Renee Kinney located?
Renee Kinney practices at 1000 Radio Dr Suite 240, Woodbury, MN 55125. The listed phone number is (651) 739-1894.
What is Renee Kinney's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is Renee Kinney enrolled in Medicare?
Yes. Renee Kinney is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Renee Kinney's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Renee Kinney reassigns Medicare benefits to Gillette Children's Specialty Healthcare (St. Paul, MN). The 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 Renee Kinney'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 Renee Kinney was last updated on October 18, 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.
# Renee M Kinney, DDS · NPI 1063738847
Dentist provider in Woodbury, Minnesota. Individual provider, active in the CMS NPPES registry since April 19, 2010.
## Identity
- **NPI:** 1063738847 (Entity type: Individual)
- **Enumerated:** April 19, 2010
- **Primary specialty:** Dentist · taxonomy 122300000X
- **State license:** D12789 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1000 RADIO DR, SUITE 240, Woodbury, MN 55125-8409
- **Phone:** (651) 739-1894
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Gillette Children's Specialty Healthcare (NPI 1225119175, St. Paul, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 18, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1063738847) · Data from the CMS NPPES public registry.