KYLIE VINCENT
NPI 1245772953
Nurse Anesthetist, Certified Registered in Saint Louis Park, MN
About Kylie Vincent NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYLIE VINCENT (NPI 1245772953) is an individual nurse anesthetist, certified registered in Saint Louis Park, Minnesota, licensed in Minnesota (204856-5) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS, is affiliated with Ridgeview Medical Center, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kylie Vincent 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.
Medicare Billing Reassignments
9Medicare enrollment records show Kylie Vincent reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- 2,302 clinicians in this Medicare group
Edina, MN 55435
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Edina, MN 55435
- Reassigned Medicare billing, Minnesota enrollment
- 118 clinicians in this Medicare group
Minneapolis, MN 55404
- Reassigned Medicare billing, Minnesota enrollment
- 551 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 681 clinicians in this Medicare group
Plymouth, MN 55447
- Reassigned Medicare billing, Minnesota enrollment
- 1,033 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 2,361 clinicians in this Medicare group
Chanhassen, MN 55317
- Reassigned Medicare billing, Minnesota enrollment
- 581 clinicians in this Medicare group
Maple Grove, MN 55369
- Reassigned Medicare billing, Minnesota enrollment
- 226 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ridgeview Medical Center
Acute Care Hospitals · Waconia, MNM Health Fairview University Of Mn
Acute Care Hospitals · Minneapolis, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55416 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Kylie Vincent's NPI number?
The NPI number for Kylie Vincent is 1245772953. It was assigned to this individual provider in the NPPES registry on November 11, 2016.
Where is Kylie Vincent located?
Kylie Vincent practices at 3937 Yosemite Ave S, Saint Louis Park, MN 55416. The listed phone number is (612) 275-9155.
What is Kylie Vincent's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Kylie Vincent enrolled in Medicare?
Yes. Kylie Vincent 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.
Which organizations bill Medicare for Kylie Vincent's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kylie Vincent reassigns Medicare benefits to 9 organizations: Fairview Clinics (Minneapolis, MN), Fairview Health Services (Edina, MN), Southdale Anesthesiologists, LLC (Edina, MN), Children's Health Care (Minneapolis, MN), University Anesthesia Providers, LLC (Minneapolis, MN) and 4 more organizations, listed in the Medicare section above. 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 Kylie Vincent's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kylie Vincent affiliated with any hospitals?
According to CMS data, Kylie Vincent is affiliated with Ridgeview Medical Center and M Health Fairview University Of Mn.
When was this NPI record last updated?
The NPPES record for Kylie Vincent was last updated on February 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Kylie Vincent · NPI 1245772953
Nurse Anesthetist, Certified Registered physician in Saint Louis Park, Minnesota. Individual provider, active in the CMS NPPES registry since November 11, 2016.
## Identity
- **NPI:** 1245772953 (Entity type: Individual)
- **Enumerated:** November 11, 2016
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 204856-5 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 3937 YOSEMITE AVE S, Saint Louis Park, MN 55416-2821
- **Phone:** (612) 275-9155
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Fairview Clinics (NPI 1447442132, Minneapolis, MN); Fairview Health Services (NPI 1699752915, Edina, MN); Southdale Anesthesiologists, LLC (NPI 1154381804, Edina, MN); Children's Health Care (NPI 1841738952, Minneapolis, MN); University Anesthesia Providers, LLC (NPI 1699711143, Minneapolis, MN); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** February 3, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1245772953) · Data from the CMS NPPES public registry.