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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: October 25, 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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

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

Fairview Express Care
0.4 mi
Cardiovascular Disease
909 FULTON ST SE
Minneapolis, MN 55455
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
NPI 1629224258 (612) 625-3600
Fairview Health Services
1.0 mi
General Acute Care Hospital
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
NPI 1013994359 (612) 672-6000
Fairview Specialty Services
1.0 mi
Physical Therapy
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,373 clinicians in this Medicare group
NPI 1043199334 (855) 324-7843

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 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.

Which organizations bill Medicare for Connor Kimball's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Connor Kimball reassigns Medicare benefits to 3 organizations: Fairview Express Care (Minneapolis, MN), Fairview Health Services (Minneapolis, MN) and Fairview Specialty Services (Minneapolis, 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 Connor Kimball's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.