MS. KIMBERLY DIANE RUPP-MONTPETIT CRNA
NPI 1114023967
Nurse Anesthetist, Certified Registered in Willmar, MN

Q: What is Kimberly Rupp-montpetit's NPI number?

The NPI number for Kimberly Rupp-montpetit is 1114023967. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Q: What is Kimberly Rupp-montpetit's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Active since September 16, 2006PECOS EnrolledAccepts Medicare Assignment

301 BECKER AVE SW, WILLMAR, MN 56201(320) 231-4120 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Ms. Kimberly Diane Rupp-montpetit Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KIMBERLY DIANE RUPP-MONTPETIT CRNA (NPI 1114023967) is an individual nurse anesthetist, certified registered in Willmar, Minnesota, licensed in Minnesota (R 116376-8) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Centracare- Rice Memorial Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1114023967

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameMS. KIMBERLY DIANE RUPP-MONTPETITCredential: CRNA

Location Address301 BECKER AVE SWWillmar, MN 56201-3302

Mailing Address410 Lake Ave SSpicer, MN 56288-8614 · (320) 796-0434

Phone(320) 231-4120

Sole ProprietorNo

Medical School CMSOtherGraduated 1989

Enumeration DateSeptember 16, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1114023967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in MN · R 116376-8

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

301 BECKER AVE SW, Willmar, MN 56201

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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

Ms. Kimberly Diane Rupp-montpetit Crna 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.

PECOS PAC ID3173416021

PECOS Enrollment IDI20040204000683

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

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

Centracare Clinic Southwest LLC

0.7 mi

Multi-Specialty

101 WILLMAR AVE SW
Willmar, MN 56201

Reassigned Medicare billing, Minnesota enrollment
236 clinicians in this Medicare group

NPI 1174106264 (320) 231-5000

Ccm Health

35 mi

Critical Access

824 N 11TH ST
Montevideo, MN 56265

Reassigned Medicare billing, Minnesota enrollment
114 clinicians in this Medicare group

NPI 1720086028 (320) 269-8877

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.

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

24 services24 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

17 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Centracare- Rice Memorial Hospital

Acute Care Hospitals · Willmar, MN

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number240088

Location301 Becker Ave SWWillmar, MN 56201 · Kandiyohi County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56201 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KAYLENE NICHOLE LARSON APRN, CRNA

Nurse Anesthetist, Certified Registered