MRS. KALLIE JO TEPOEL MS, BSN, CRNA
NPI 1366914996
Nurse Anesthetist, Certified Registered in Saint Paul, MN
About Mrs. Kallie Jo Tepoel Ms, Bsn, Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KALLIE JO TEPOEL MS, BSN, CRNA (NPI 1366914996) is an individual nurse anesthetist, certified registered in Saint Paul, Minnesota, licensed in Minnesota (2280) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview St John's Hospital, and maintains a secondary practice location in Saint Paul.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Kallie Jo Tepoel Ms, Bsn, Crna 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.
Medicare Billing Reassignments
6Medicare enrollment records show Kallie Tepoel reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 1,178 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 681 clinicians in this Medicare group
Plymouth, MN 55447
- Reassigned Medicare billing, Minnesota enrollment
- 1,033 clinicians in this Medicare group
Maple Grove, MN 55369
- Reassigned Medicare billing, Minnesota enrollment
- 226 clinicians in this Medicare group
Wyoming, MN 55092
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: North Metro Anesthesia Services PA
- 34 clinicians in this Medicare group
Becker, MN 55308
- Reassigned Medicare billing, Minnesota enrollment
- 52 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
M Health Fairview St John's Hospital
Acute Care Hospitals · Maplewood, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Kallie Tepoel's NPI number?
The NPI number for Kallie Tepoel is 1366914996. It was assigned to this individual provider in the NPPES registry on December 20, 2018. The provider is also known as Kallie Jo Agre.
Where is Kallie Tepoel located?
Kallie Tepoel practices at 333 Smith Ave N, Saint Paul, MN 55102. The listed phone number is (651) 697-5804.
What is Kallie Tepoel's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Kallie Tepoel enrolled in Medicare?
Yes. Kallie Tepoel 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.
Which organizations bill Medicare for Kallie Tepoel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kallie Tepoel reassigns Medicare benefits to 6 organizations: Healtheast St. John's Hospital (Saint Paul, MN), University Anesthesia Providers, LLC (Minneapolis, MN), Metropolitan Anesthesia Network, LLP (Plymouth, MN), Fairview Maple Grove Surgery Center, LLC (Maple Grove, MN), North Metro Anesthesia Services P.A. (Wyoming, MN) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kallie Tepoel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kallie Tepoel affiliated with any hospitals?
According to CMS data, Kallie Tepoel is affiliated with M Health Fairview St John's Hospital.
When was this NPI record last updated?
The NPPES record for Kallie Tepoel was last updated on December 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mrs. Kallie Jo Tepoel, MS, BSN, CRNA · NPI 1366914996
Nurse Anesthetist, Certified Registered physician in Saint Paul, Minnesota. Individual provider, active in the CMS NPPES registry since December 20, 2018.
## Identity
- **NPI:** 1366914996 (Entity type: Individual)
- **Enumerated:** December 20, 2018
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 2280 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 333 SMITH AVE N, Saint Paul, MN 55102-2344
- **Phone:** (651) 697-5804
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Healtheast St. John's Hospital (NPI 1558240853, Saint Paul, MN); University Anesthesia Providers, LLC (NPI 1699711143, Minneapolis, MN); Metropolitan Anesthesia Network, LLP (NPI 1558314427, Plymouth, MN); Fairview Maple Grove Surgery Center, LLC (NPI 1730068032, Maple Grove, MN); North Metro Anesthesia Services P.A. (NPI 1457339780, Wyoming, MN); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** December 20, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1366914996) · Data from the CMS NPPES public registry.