KAYLA PINEDA NP-C
NPI 1285171579
Nurse Practitioner - Family in Windom, MN

Active since January 24, 2017PECOS EnrolledAccepts Medicare Assignment
77.99/100
CMS Quality Rating
591 2ND AVE N, WINDOM, MN 56101(507) 831-2223(507) 831-0135 Get Directions Write a Review

NPPES record last updated: July 5, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 5, 2017, Jan 24, 2017 (2 updates tracked since 2017).

About Kayla Pineda Np-c NPPES

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

KAYLA PINEDA NP-C (NPI 1285171579) is an individual family provider in Windom, Minnesota, licensed in Minnesota (CNP 4980) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, is affiliated with Sanford Westbrook Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1285171579
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAYLA PINEDACredential: NP-C
Location Address591 2ND AVE NWindom, MN 56101-1927
Mailing Address591 2nd Ave NWindom, MN 56101-1927 · (507) 831-2223 · Fax (507) 831-0135
Fax(507) 831-0135
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 24, 2017
Last NPPES UpdateJuly 5, 20172 updates tracked since enumeration
NPI 1285171579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MN · CNP 4980
591 2ND AVE N, Windom, MN 56101

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

Kayla Pineda Np-c 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 ID244517977
PECOS Enrollment IDI20170508000853
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 3

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

Sanford Westbrook Medical Center

Critical Access Hospitals · Westbrook, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241302
Location920 Bell Avenue PO Box 188Westbrook, MN 56183 · Cottonwood County
Emergency services

Windom Area Health

Critical Access Hospitals · Windom, MN
OwnershipGovernment - Local
CMS Certification Number241332
Location2150 Hospital Drive, PO Box 339Windom, MN 56101 · Cottonwood County
Emergency services

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56101 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.13
Promoting Interoperability99
Improvement Activities40
Cost47.35

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers33 claims65 services$5.58 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
1 supplier18 claims18 services$46.07 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers13 claims13 services$41.25 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
2 suppliers17 claims17 services$23.85 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers35 claims66 services$2.88 avg. paid by Medicare
Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046
DME-Other DME · category DE001N
2 suppliers15 claims15 services$14.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Family Medicine
591 2ND AVE N
WINDOM, MN 56101
Social Worker (Clinical)
591 2ND AVE N
WINDOM, MN 56101
Nurse Practitioner (Psychiatric/Mental Health)
591 2ND AVE N
WINDOM, MN 56101
Family Medicine
591 2ND AVE N
WINDOM, MN 56101
Clinic/Center (Rural Health)
591 2ND AVE N
WINDOM, MN 56101

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 Kayla Pineda's NPI number?

The NPI number for Kayla Pineda is 1285171579. It was assigned to this individual provider in the NPPES registry on January 24, 2017.

Where is Kayla Pineda located?

Kayla Pineda practices at 591 2nd Ave N, Windom, MN 56101. The listed phone number is (507) 831-2223.

What is Kayla Pineda's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kayla Pineda enrolled in Medicare?

Yes. Kayla Pineda 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 Kayla Pineda accept?

Health plans from Medica, Sanford Health Plan and Security Health Plan list Kayla Pineda 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 Kayla Pineda affiliated with any hospitals?

According to CMS data, Kayla Pineda is affiliated with Sanford Westbrook Medical Center, Windom Area Health and Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Kayla Pineda was last updated on July 5, 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.