KYLE JEFFREY THEILMANN PA-C
NPI 1306522768
Physician Assistant in Maple Grove, MN

Active since June 22, 2023PECOS EnrolledAccepts Medicare Assignment
9630 GROVE CIR N STE 200, MAPLE GROVE, MN 55369(763) 520-7870 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kyle Jeffrey Theilmann Pa-c NPPES

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

KYLE JEFFREY THEILMANN PA-C (NPI 1306522768) is an individual physician assistant in Maple Grove, Minnesota, licensed in Minnesota (14548) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS, is affiliated with North Memorial Health Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1306522768
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKYLE JEFFREY THEILMANNCredential: PA-C
Location Address9630 GROVE CIR N STE 200Maple Grove, MN 55369-3492
Mailing Address4200 Dahlberg Dr Ste 300Golden Valley, MN 55422-4841 · (952) 512-5600
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 22, 2023
Last NPPES UpdateJune 28, 2023
NPPES CertifiedJune 28, 2023
NPI 1306522768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MN · 14548
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

9630 GROVE CIR N STE 200, Maple Grove, MN 55369

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

Kyle Jeffrey Theilmann Pa-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 ID2961864038
PECOS Enrollment IDI20230822001290
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 2

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

North Memorial Health Hospital

Acute Care Hospitals · Robbinsdale, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240001
Location3300 Oakdale NorthRobbinsdale, MN 55422 · Hennepin County
Emergency services Birthing friendly

M Health Fairview Southdale Hospital

Acute Care Hospitals · Edina, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240078
Location6401 France Avenue SouthEdina, MN 55435 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55369 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
$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 20

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

Physical Therapist
9630 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Occupational Therapist
9630 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Specialist/Technologist (Athletic Trainer)
9630 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Physical Therapist
9630 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Occupational Therapist
9630 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Physical Therapist
9630 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Occupational Therapist
9630 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Anesthesiology (Pain Medicine)
9630 GROVE CIR N STE 200
MAPLE GROVE, MN 55369

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306522768, enumerated as an "individual" on June 22, 2023.

The provider is located at 9630 GROVE CIR N STE 200 MAPLE GROVE, MN 55369 and the phone number is (763) 520-7870.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: HealthPartners and Medica. Please consult your insurance carrier or call the provider to verify.

Kyle Theilmann is affiliated with: NORTH MEMORIAL HEALTH HOSPITAL and M HEALTH FAIRVIEW SOUTHDALE HOSPITAL.