KATHLEEN DYNAN
NPI 1083475776
Nurse Practitioner in Maplewood, MN
About Kathleen Dynan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN DYNAN (NPI 1083475776) is an individual nurse practitioner in Maplewood, Minnesota, licensed in Minnesota (11189) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview St John's Hospital, and is a graduate of Other (2023).
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 and accepts Medicare assignment
Kathleen Dynan 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.
Medicare Billing Reassignments
5Medicare enrollment records show Kathleen Dynan reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Maplewood, MN 55117
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Associated Nephrology Consultants PA
- 15 clinicians in this Medicare group
Saint Paul, MN 55117
- Reassigned Medicare billing, Minnesota enrollment
- 2,361 clinicians in this Medicare group
Maplewood, MN 55109
- Reassigned Medicare billing, Minnesota enrollment
- 1,178 clinicians in this Medicare group
Saint Paul, MN 55102
- Reassigned Medicare billing, Minnesota enrollment
- 671 clinicians in this Medicare group
Woodbury, MN 55125
- Reassigned Medicare billing, Minnesota enrollment
- 955 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
M Health Fairview St John's Hospital
Acute Care Hospitals · Maplewood, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55117 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 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MAPLEWOOD, MN 55117
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 Kathleen Dynan's NPI number?
The NPI number for Kathleen Dynan is 1083475776. It was assigned to this individual provider in the NPPES registry on January 19, 2024.
Where is Kathleen Dynan located?
Kathleen Dynan practices at 1997 Sloan Pl Ste 17, Maplewood, MN 55117. The listed phone number is (651) 772-6251.
What is Kathleen Dynan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kathleen Dynan enrolled in Medicare?
Yes. Kathleen Dynan 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.
Which organizations bill Medicare for Kathleen Dynan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Dynan reassigns Medicare benefits to 5 organizations: Associated Nephrology Consultants, P.A. (Maplewood, MN), Healtheast Medical Research Institute (Saint Paul, MN), Healtheast St. John's Hospital (Maplewood, MN), Fairview Bethesda Hospital (Saint Paul, MN) and Healtheast Woodwinds Hospital (Woodbury, 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 Kathleen Dynan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kathleen Dynan affiliated with any hospitals?
According to CMS data, Kathleen Dynan is affiliated with M Health Fairview St John's Hospital.
When was this NPI record last updated?
The NPPES record for Kathleen Dynan was last updated on January 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kathleen Dynan · NPI 1083475776
Nurse Practitioner physician in Maplewood, Minnesota. Individual provider, active in the CMS NPPES registry since January 19, 2024.
## Identity
- **NPI:** 1083475776 (Entity type: Individual)
- **Enumerated:** January 19, 2024
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 11189 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1997 SLOAN PL STE 17, Maplewood, MN 55117-2051
- **Phone:** (651) 772-6251
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Associated Nephrology Consultants, P.A. (NPI 1104976158, Maplewood, MN); Healtheast Medical Research Institute (NPI 1871549741, Saint Paul, MN); Healtheast St. John's Hospital (NPI 1447218482, Maplewood, MN); Fairview Bethesda Hospital (NPI 1194787465, Saint Paul, MN); Healtheast Woodwinds Hospital (NPI 1356309322, Woodbury, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** January 19, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1083475776) · Data from the CMS NPPES public registry.