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DEBORAH KIM MIELKE M.D.
NPI 1184692279
Family Medicine in St. Paul, MN

Active since March 14, 2006PECOS Enrolled
409 N. DUNLAP ST., OPEN CITIES HEALTH CENTER, ST. PAUL, MN 55104(651) 290-9200(651) 290-9201 Get Directions Write a Review

NPPES record last updated: December 5, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Deborah Kim Mielke M.d. NPPES

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

DEBORAH KIM MIELKE M.D. (NPI 1184692279) is an individual family medicine provider in St. Paul, Minnesota, licensed in Minnesota (28770) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184692279
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDEBORAH KIM MIELKECredential: M.D.
Location Address409 N. DUNLAP ST., OPEN CITIES HEALTH CENTERSt. Paul, MN 55104
Mailing Address409 N. Dunlap StreetSt. Paul, MN 55104 · (651) 290-9200 · Fax (651) 290-9201
Phone(651) 290-9200
Fax(651) 290-9201
Sole ProprietorNo
Enumeration DateMarch 14, 2006
Last NPPES UpdateDecember 5, 2013
✔ NPI 1184692279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 28770
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
409 N. DUNLAP ST., St. Paul, MN 55104
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Other Identifiers 2

Medicaid341875800MN
Medicare UPIND80024

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deborah Kim Mielke M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Deborah Mielke reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairview Clinics
0.1 mi
Clinic/Center
451 LEXINGTON PKWY N, SUITE 300
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,302 clinicians in this Medicare group
NPI 1497025910 (612) 672-1900
Fairview Health Services
4.4 mi
General Acute Care Hospital
2450 RIVERSIDE AVE, OUTREACH LAB DEPARTMENT
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
NPI 1316008212 (612) 273-7838

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 55104 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.

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 Deborah Mielke's NPI number?

The NPI number for Deborah Mielke is 1184692279. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Deborah Mielke located?

Deborah Mielke practices at 409 N. Dunlap St. Open Cities Health Center, St. Paul, MN 55104. The listed phone number is (651) 290-9200.

What is Deborah Mielke's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Deborah Mielke enrolled in Medicare?

Yes. Deborah Mielke is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Deborah Mielke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deborah Mielke reassigns Medicare benefits to 2 organizations: Fairview Clinics (Saint Paul, MN) and Fairview Health 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 Deborah Mielke'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 Deborah Mielke was last updated on December 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.