KRISTEN KISSAM VANDERVEEN R.N., A.P.R.N.
NPI 1285987115
Nurse Practitioner - Pediatrics in Minneapolis, MN

Q: What is Kristen Vanderveen's NPI number?

The NPI number for Kristen Vanderveen is 1285987115. It was assigned to this individual provider in the NPPES registry on October 16, 2012.

Q: What is Kristen Vanderveen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Active since October 16, 2012PECOS Enrolled

2525 CHICAGO AVE, MINNEAPOLIS, MN 55404(612) 813-6107 Get Directions Write a Review

NPPES record last updated: November 5, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Kristen Kissam Vanderveen R.n., A.p.r.n. NPPES

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

KRISTEN KISSAM VANDERVEEN R.N., A.P.R.N. (NPI 1285987115) is an individual pediatrics provider in Minneapolis, Minnesota, licensed in Minnesota (6605) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285987115

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameKRISTEN KISSAM VANDERVEENCredential: R.N., A.P.R.N.

Location Address2525 CHICAGO AVEMinneapolis, MN 55404-4518

Mailing Address2525 Chicago AveMinneapolis, MN 55404-4518 · (612) 813-6107

Phone(612) 813-6107

Sole ProprietorNo

Enumeration DateOctober 16, 2012

Last NPPES UpdateNovember 5, 2019

✔ NPI 1285987115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in MN · 6605

2525 CHICAGO AVE, Minneapolis, MN 55404

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristen Kissam Vanderveen R.n., A.p.r.n. 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

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

Childrens Health Care

Same address

Anatomic Pathology & Clinical Pathology

2525 CHICAGO AVE S
Minneapolis, MN 55404

Reassigned Medicare billing, Minnesota enrollment
Medicare enrollment name: Children's Health Care
551 clinicians in this Medicare group

NPI 1053410928 (612) 813-6280

Children's Clinic Network

5.9 mi

Primary Care

6517 DREW AVENUE SOUTH
Edina, MN 55435

Reassigned Medicare billing, Minnesota enrollment
62 clinicians in this Medicare group

NPI 1578830733 (952) 920-9191

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 55404 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.

Other Providers at the Same Location NPPES 20

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

CATHERINE ELAINE MCNAUGHTON LICSW

Social Worker (Clinical)