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CONNOR KIMBALL
NPI 1134859499
Social Worker - Clinical in Minneapolis, MN

Active since June 10, 2022PECOS Enrolled
501 23RD AVE SE, MINNEAPOLIS, MN 55455(763) 331-2961 Get Directions Write a Review

NPPES record last updated: June 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Connor Kimball NPPES

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

CONNOR KIMBALL (NPI 1134859499) is an individual clinical provider in Minneapolis, Minnesota and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1134859499
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameCONNOR KIMBALL
Location Address501 23RD AVE SEMinneapolis, MN 55455-0447
Mailing Address10520 Mississippi Cir NBrooklyn Park, MN 55443-1267 · (763) 331-2961
Phone(763) 331-2961
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJune 10, 2022
NPPES CertifiedJune 10, 2022
✔ NPI 1134859499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
501 23RD AVE SE, Minneapolis, MN 55455
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Other Identifiers 1

OtherJZH133820080001Bluecross Blueshield

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Connor Kimball is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951872829
PECOS Enrollment IDI20260602002690
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 55455 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
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
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.

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 Connor Kimball's NPI number?

The NPI number for Connor Kimball is 1134859499. It was assigned to this individual provider in the NPPES registry on June 10, 2022.

Where is Connor Kimball located?

Connor Kimball practices at 501 23rd Ave SE, Minneapolis, MN 55455. The listed phone number is (763) 331-2961.

What is Connor Kimball's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Connor Kimball enrolled in Medicare?

Yes. Connor Kimball is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Connor Kimball was last updated on June 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.