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

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

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

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: July 26, 2026.

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

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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

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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 Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

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

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.

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.

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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.

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