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KATHLEEN MEREDITH HOLDEN MSN, PMHNP-BC, ARNP
NPI 1124692553
Nurse Practitioner - Psychiatric/Mental Health in St Louis Park, MN

Active since May 19, 2021PECOS EnrolledAccepts Medicare Assignment
1155 FORD RD STE B, ST LOUIS PARK, MN 55426(952) 378-1800(952) 378-1714 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 18, 2025, Sep 18, 2024, Jun 21, 2021 and 1 more (4 updates tracked since 2021).

About Kathleen Meredith Holden Msn, Pmhnp-bc, Arnp NPPES

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

KATHLEEN MEREDITH HOLDEN MSN, PMHNP-BC, ARNP (NPI 1124692553) is an individual psychiatric/mental health provider in St Louis Park, Minnesota, licensed in Minnesota (12901) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Waverly, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1124692553
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKATHLEEN MEREDITH HOLDENCredential: MSN, PMHNP-BC, ARNP
Location Address1155 FORD RD STE BSt Louis Park, MN 55426-1115
Mailing Address4240 Park Glen RdSt Louis Park, MN 55416-5427 · (612) 925-6033 · Fax (612) 925-8496
Phone(952) 378-1800
Fax(952) 378-1714
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 19, 2021
Last NPPES UpdateJune 18, 20254 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
✔ NPI 1124692553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in MN · 12901✔ Licensed in IA · G163773
Also ListedRegistered NurseTaxonomy 163W00000X · License 2536446 (MN), 132004 (IA)
1155 FORD RD STE B, St Louis Park, MN 55426
Open in Google Maps ↗

Other Names 1

Former Name (1)Kathleen Meredith Thedens

Secondary Practice Location 1

Location 1312 9th St SWWaverly, IA 50677-2999 · Phone (319) 483-1390 · Fax (888) 927-0654

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

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 Meredith Holden Msn, Pmhnp-bc, Arnp 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 ID8325441462
PECOS Enrollment IDI20250729004757
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

3

Medicare enrollment records show Kathleen Holden reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Associated Clinic Of Psychology Inc
4.1 mi
Mental Health (Including Community Mental Health Center)
4027 COUNTY ROAD 25
St Louis Park, MN 55416
  • Reassigned Medicare billing, Minnesota enrollment
  • 148 clinicians in this Medicare group
NPI 1588741292 (612) 925-6033
Waverly Health Center
162 mi
Critical Access
312 9TH ST SW
Waverly, IA 50677
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1033125463 (Iowa)
  • 66 clinicians in this Medicare group
NPI 1447299953 (319) 352-4120
Black Hawk-Grundy Mental Health Center Inc.
181 mi
Mental Health (Including Community Mental Health Center)
3251 W 9TH ST
Waterloo, IA 50702
  • Reassigned Medicare billing, Iowa enrollment
  • 28 clinicians in this Medicare group
NPI 1316944598 (319) 234-2893

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 55426 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 12

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

LISA VIOLET MORGEL CRYNS MA, LMFT
Marriage & Family Therapist
1155 FORD RD STE B
ST LOUIS PARK, MN 55426
Hennepin County (952) 378-1800
KATHERINE ANN PETERSON MA, LPCC, LADC
Counselor (Professional)
1155 FORD RD STE B
ST LOUIS PARK, MN 55426
Hennepin County (952) 378-1800
MAI CHOUA YANG MA, LMFT
Marriage & Family Therapist
1155 FORD RD STE B
ST LOUIS PARK, MN 55426
Hennepin County (952) 378-1800
JAMIE L BASO MSN , PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1155 FORD RD STE B
ST LOUIS PARK, MN 55426
Hennepin County (952) 378-1800
SHANNON MARIE MURPHY MSW, LICSW, LCSW
Social Worker (Clinical)
1155 FORD RD STE B
ST LOUIS PARK, MN 55426
Hennepin County (952) 378-1800
UFUOMA PEACE OTEBELE MSN, RN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1155 FORD RD STE B
ST LOUIS PARK, MN 55426
Hennepin County (952) 378-1800
SCOTT MARSHALL SCHMAEDEKE PA-C
Physician Assistant
1155 FORD RD STE B
ST LOUIS PARK, MN 55426
Hennepin County (952) 378-1800
ELIZABETH FIELD BAUDHUIN MS, RN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1155 FORD RD STE B
ST LOUIS PARK, MN 55426
Hennepin County (952) 378-1800

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 Holden's NPI number?

The NPI number for Kathleen Holden is 1124692553. It was assigned to this individual provider in the NPPES registry on May 19, 2021. The provider is also known as Kathleen Meredith Thedens.

Where is Kathleen Holden located?

Kathleen Holden practices at 1155 Ford Rd Ste B, St Louis Park, MN 55426. The listed phone number is (952) 378-1800.

What is Kathleen Holden's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kathleen Holden enrolled in Medicare?

Yes. Kathleen Holden 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 Holden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Holden reassigns Medicare benefits to 3 organizations: Associated Clinic Of Psychology Inc (St Louis Park, MN), Waverly Health Center (Waverly, IA) and Black Hawk-Grundy Mental Health Center Inc. (Waterloo, IA). 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 Holden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathleen Holden accept?

Health plans from HealthPartners list Kathleen Holden as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kathleen Holden was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.