KIM A MALETTA SHIBLEY MD
NPI 1184685042
Obstetrics & Gynecology in Waconia, MN

Active since March 30, 2006PECOS EnrolledAccepts Medicare Assignment
560 S MAPLE ST STE 130, WACONIA, MN 55387(952) 442-2191 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 15, 2022, Sep 8, 2021, Jul 8, 2021 (3 updates tracked since 2021).

About Kim A Maletta Shibley Md NPPES

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

KIM A MALETTA SHIBLEY MD (NPI 1184685042) is an individual obstetrics & gynecology provider in Waconia, Minnesota, licensed in Minnesota (37029) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Ridgeview Medical Center, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1184685042
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKIM A MALETTA SHIBLEYCredential: MD
Location Address560 S MAPLE ST STE 130Waconia, MN 55387-1753
Mailing Address560 S Maple St Ste 130Waconia, MN 55387-1753
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateMarch 30, 2006
Last NPPES UpdateSeptember 15, 20223 updates tracked since enumeration
NPPES CertifiedJune 10, 2022
NPI 1184685042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in MN · 37029
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

560 S MAPLE ST STE 130, Waconia, MN 55387

Other Identifiers 1

Medicaid309325500MN

Accepted 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

Kim A Maletta Shibley Md 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 ID1951294032
PECOS Enrollment IDI20111018000803
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.

Hospital Affiliations CMS Care Compare

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

Ridgeview Medical Center

Acute Care Hospitals · Waconia, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240056
Location500 South Maple StreetWaconia, MN 55387 · Carver County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55387 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 3

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

Advanced Practice Midwife
560 S MAPLE ST STE 130
WACONIA, MN 55387
Advanced Practice Midwife
560 S MAPLE ST STE 130
WACONIA, MN 55387
Obstetrics & Gynecology
560 S MAPLE ST STE 130
WACONIA, MN 55387

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 Kim Maletta Shibley's NPI number?

The NPI number for Kim Maletta Shibley is 1184685042. It was assigned to this individual provider in the NPPES registry on March 30, 2006.

Where is Kim Maletta Shibley located?

Kim Maletta Shibley practices at 560 S Maple St Ste 130, Waconia, MN 55387. The listed phone number is (952) 442-2191.

What is Kim Maletta Shibley's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kim Maletta Shibley enrolled in Medicare?

Yes. Kim Maletta Shibley 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.

What insurance does Kim Maletta Shibley accept?

Health plans from HealthPartners and Medica list Kim Maletta Shibley 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.

Is Kim Maletta Shibley affiliated with any hospitals?

According to CMS data, Kim Maletta Shibley is affiliated with Ridgeview Medical Center.

When was this NPI record last updated?

The NPPES record for Kim Maletta Shibley was last updated on September 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.