KIMBERLEE ANN THIELEN M.D. NPI 1356362164

Internal Medicine (Nephrology) in Richfield, MN

NPI 1356362164 Individual Female Years of Experience 32 Internal Medicine Nephrology PECOS Enrolled Accepts Medicare Approved Payment

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 Address6601 LYNDALE AVE S SUITE 220 RICHFIELD, MN 55423
Provider Mailing Address6200 SHINGLE CREEK PKWY SUITE 260 BROOKLYN CENTER, MN 55430
GenderFemale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year1990
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date07-21-2006
Last Update Date10-15-2014


Primary Taxonomy

Taxonomy Code207RN0300X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationNephrology
License No.34968
License StateMN
Taxonomy DescriptionAn 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

Get Directions


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 ID9335058247
PECOS Enrollment IDI20100301000215
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 ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

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 HOSPITAL800 EAST 28TH STREET
MINNEAPOLIS, MN 55407
(612) 863-4457Acute Care Hospitals240057
MAYO CLINIC HEALTH SYSTEM-NEW PRAGUE301 2ND STREET NORTHEAST
NEW PRAGUE, MN 56071
(952) 758-4431Critical Access Hospitals241361
RIDGEVIEW MEDICAL CENTER500 SOUTH MAPLE STREET
WACONIA, MN 55387
(952) 442-2191Acute Care Hospitals240056

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
110130174OTHER (01)MN
390000224MEDICARE PIN (08)MN
01T58THOTHER (01)MN
32534000MEDICAID (05)WI
1011156OTHER (01)MN
110385C028OTHER (01)MN
490793100MEDICAID (05)MN
3113111OTHER (01)MN
IM1772OTHER (01)MN
E98494MEDICARE UPIN (02)
110130174MEDICARE PIN (08)MN
HP20119OTHER (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
1336114644DR. 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
1568431492DR. JAMES DAMON MARZELLA DDS
Individual
Dentist6601 LYNDALE AVE S WOODLAKE CENTER, SUITE 230
RICHFIELD, MN 55423
(612) 861-9123
1659340503 JOHN CARLTON WITTENSTROM DDS
Individual
Dentist6601 LYNDALE AVE S WOODLAKE CENTER SUITE 230
RICHFIELD, MN 55423
(612) 861-9123
1891764635DR. MARK MARSHALL PEARCE D.D.S.
Individual
Dentist6601 LYNDALE AVE S WOODLAKE CENTRE SUITE 230
RICHFIELD, MN 55423
(612) 866-1234
1841251071DR. MELANIE FREDETTE D.M.D.
Individual
Dentist6601 LYNDALE AVE S SUITE 230
RICHFIELD, MN 55423
(612) 866-1234
1811953300 MOHAMMAD HUSSAM ALKILLESLY DDS
Individual
Dentist6601 LYNDALE AVE S STE 230
RICHFIELD, MN 55423
(612) 861-9123
1316997240DR. 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
1598860314DR. DAVID MILBRATH DDS
Individual
Dentist (General Practice)6601 LYNDALE AVE S SUITE 220
RICHFIELD, MN 55423
(612) 861-9123
1568568814DR. 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 Therapist6601 LYNDALE AVE S #105
RICHFIELD, MN 55423
(612) 798-8860
1629277082PERSPECTIVES OPTOMETRIC VISION CLINIC, PC
Organization
Optometrist6601 LYNDALE AVE S
RICHFIELD, MN 55423
(612) 270-3261
1639356785 JAN MARI YOUNG PTA
Individual
Physical Therapy Assistant6601 LYNDALE AVE S 105
RICHFIELD, MN 55423
(612) 798-8860
1003043175DR. 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
1356724975DR. BENJAMIN DAVID LARSON DDS
Individual
Dentist (General Practice)6601 LYNDALE AVE S
RICHFIELD, MN 55423
(612) 866-1234
1083083323DR. 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 Therapist6601 LYNDALE AVE S
RICHFIELD, MN 55423
(612) 775-5190
1689076432 LAURA RICHARDSON DPT
Individual
Physical Therapist6601 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.