KIMBERLEE ANN THIELEN M.D. NPI 1356362164
Internal Medicine (Nephrology) in Richfield, MN
About KIMBERLEE THIELEN
Kimberlee Thielen is an internal medicine provider established in Richfield, Minnesota and her medical specialization is internal medicine (nephrology) with more than 32 years of experience. She graduated from University Of Minnesota Medical School in 1990. The NPI number of Kimberlee Thielen is 1356362164 and was assigned on July 2006. The practitioner's primary taxonomy code is 207RN0300X with license number 34968 (MN). The provider is registered as an individual and her NPI record was last updated 8 years ago.
An internist like Kimberlee Ann Thielen M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Kimberlee Thielen is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices
Kimberlee Thielen is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Abbott Northwestern Hospital, Mayo Clinic Health System-new Prague and Ridgeview Medical Center.
| NPI | 1356362164 |
| Provider Name | KIMBERLEE ANN THIELEN M.D. |
| Provider Location Address | 6601 LYNDALE AVE S SUITE 220 RICHFIELD, MN 55423 |
| Provider Mailing Address | 6200 SHINGLE CREEK PKWY SUITE 260 BROOKLYN CENTER, MN 55430 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1990 |
| Is Sole Proprietor? | No |
| Is Organization Subpart? | N/A |
| Enumeration Date | 07-21-2006 |
| Last Update Date | 10-15-2014 |
Primary Taxonomy
| Taxonomy Code | 207RN0300X |
| Classification | Internal Medicine |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Nephrology |
| License No. | 34968 |
| License State | MN |
| Taxonomy Description | An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
Business Address
KIMBERLEE ANN THIELEN M.D.
6601 LYNDALE AVE S
SUITE 220
RICHFIELD, MN
ZIP 55423
Phone: (612) 823-8001
Fax: (612) 823-1010
Mailing Address
KIMBERLEE ANN THIELEN M.D.
6200 SHINGLE CREEK PKWY
SUITE 260
BROOKLYN CENTER, MN
ZIP 55430
Phone: (763) 561-5349
Medicare Participation
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 9335058247 |
| PECOS Enrollment ID | I20100301000215 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 346Dialysis services (4 or more physician visits per month), patient 20 years of age and older (HCPCS:90960)
- 121Hemodialysis procedure with one physician evaluation (HCPCS:90935)
- 81Dialysis services (2-3 physician visits per month), patient 20 years of age and older (HCPCS:90961)
- 62Dialysis services (1 physician visit per month), patient 20 years of age and older (HCPCS:90962)
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kimberlee Thielen is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| ABBOTT NORTHWESTERN HOSPITAL | 800 EAST 28TH STREET MINNEAPOLIS, MN 55407 | (612) 863-4457 | Acute Care Hospitals | 240057 | |
| MAYO CLINIC HEALTH SYSTEM-NEW PRAGUE | 301 2ND STREET NORTHEAST NEW PRAGUE, MN 56071 | (952) 758-4431 | Critical Access Hospitals | 241361 | |
| RIDGEVIEW MEDICAL CENTER | 500 SOUTH MAPLE STREET WACONIA, MN 55387 | (952) 442-2191 | Acute Care Hospitals | 240056 |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 110130174 | OTHER (01) | MN |
| 390000224 | MEDICARE PIN (08) | MN |
| 01T58TH | OTHER (01) | MN |
| 32534000 | MEDICAID (05) | WI |
| 1011156 | OTHER (01) | MN |
| 110385C028 | OTHER (01) | MN |
| 490793100 | MEDICAID (05) | MN |
| 3113111 | OTHER (01) | MN |
| IM1772 | OTHER (01) | MN |
| E98494 | MEDICARE UPIN (02) | |
| 110130174 | MEDICARE PIN (08) | MN |
| HP20119 | OTHER (01) | MN |
Other Providers at the same location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1336114644 | DR. JOSEPH SHAUN HICKEN D.D.S., M.S. Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 6601 LYNDALE AVE S SUITE 240 RICHFIELD, MN 55423 (612) 869-8834 |
| 1568431492 | DR. JAMES DAMON MARZELLA DDS Individual | Dentist | 6601 LYNDALE AVE S WOODLAKE CENTER, SUITE 230 RICHFIELD, MN 55423 (612) 861-9123 |
| 1659340503 | JOHN CARLTON WITTENSTROM DDS Individual | Dentist | 6601 LYNDALE AVE S WOODLAKE CENTER SUITE 230 RICHFIELD, MN 55423 (612) 861-9123 |
| 1891764635 | DR. MARK MARSHALL PEARCE D.D.S. Individual | Dentist | 6601 LYNDALE AVE S WOODLAKE CENTRE SUITE 230 RICHFIELD, MN 55423 (612) 866-1234 |
| 1841251071 | DR. MELANIE FREDETTE D.M.D. Individual | Dentist | 6601 LYNDALE AVE S SUITE 230 RICHFIELD, MN 55423 (612) 866-1234 |
| 1811953300 | MOHAMMAD HUSSAM ALKILLESLY DDS Individual | Dentist | 6601 LYNDALE AVE S STE 230 RICHFIELD, MN 55423 (612) 861-9123 |
| 1316997240 | DR. RYAN LEE GORDON DDS MS Individual | Dentist (Endodontics) | 6601 LYNDALE AVE S SUITE 230 WOODLAKE CENTRE RICHFIELD, MN 55423 (612) 638-1224 |
| 1215949045 | MARK STEVEN JOHNSON D.D.S. Individual | Dentist (General Practice) | 6601 LYNDALE AVE S SUITE 220 RICHFIELD, MN 55423 (612) 861-9109 |
| 1598860314 | DR. DAVID MILBRATH DDS Individual | Dentist (General Practice) | 6601 LYNDALE AVE S SUITE 220 RICHFIELD, MN 55423 (612) 861-9123 |
| 1568568814 | DR. TRACEY LEIGH SCHILLING-HYSJULIEN DDS Individual | Dentist (General Practice) | 6601 LYNDALE AVE S STE 230 RICHFIELD, MN 55423 (612) 866-1234 |
| 1508996638 | JAMES FRANCIS RIAN P.T. Individual | Physical Therapist | 6601 LYNDALE AVE S #105 RICHFIELD, MN 55423 (612) 798-8860 |
| 1629277082 | PERSPECTIVES OPTOMETRIC VISION CLINIC, PC Organization | Optometrist | 6601 LYNDALE AVE S RICHFIELD, MN 55423 (612) 270-3261 |
| 1639356785 | JAN MARI YOUNG PTA Individual | Physical Therapy Assistant | 6601 LYNDALE AVE S 105 RICHFIELD, MN 55423 (612) 798-8860 |
| 1003043175 | DR. REBECCA LEIGH BENSON D.D.S. Individual | Dentist (General Practice) | 6601 LYNDALE AVE S RICHFIELD, MN 55423 (612) 866-1234 |
| 1205987450 | DEIRDRE ANN PALMER MD Individual | Internal Medicine (Nephrology) | 6601 LYNDALE AVE S SUITE 220 RICHFIELD, MN 55423 (612) 823-8001 |
| 1356724975 | DR. BENJAMIN DAVID LARSON DDS Individual | Dentist (General Practice) | 6601 LYNDALE AVE S RICHFIELD, MN 55423 (612) 866-1234 |
| 1083083323 | DR. MICAH CHAN D.M.D., M.S. Individual | Dentist (Periodontics) | 6601 LYNDALE AVE S RICHFIELD, MN 55423 (612) 243-9357 |
| 1891336863 | JESSE ELAINE OLSON NURSE PRACTITIONER Individual | Nurse Practitioner (Adult Health) | 6601 LYNDALE AVE S RICHFIELD, MN 55423 (612) 823-8001 |
| 1811908742 | JOSHUA R TANNER PT Individual | Physical Therapist | 6601 LYNDALE AVE S RICHFIELD, MN 55423 (612) 775-5190 |
| 1689076432 | LAURA RICHARDSON DPT Individual | Physical Therapist | 6601 LYNDALE AVE S #105 RICHFIELD, MN 55423 (612) 775-5190 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.