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KIMBERLY DE PAULO
NPI 1417308701
Nurse Practitioner in Owatonna, MN

Active since June 28, 2016PECOS EnrolledAccepts Medicare Assignment
2200 NW 26TH ST, OWATONNA, MN 55060(507) 451-1120 Get Directions Write a Review

NPPES record last updated: October 5, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 5, 2020, Feb 17, 2017, Jun 28, 2016 (3 updates tracked since 2016).

About Kimberly De Paulo NPPES

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

KIMBERLY DE PAULO (NPI 1417308701) is an individual nurse practitioner in Owatonna, Minnesota, licensed in Minnesota (5070) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System In Red Wing, and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1417308701
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKIMBERLY DE PAULO
Location Address2200 NW 26TH STOwatonna, MN 55060
Mailing Address2200 Nw 26th StOwatonna, MN 55060-5503 · (507) 451-1120
Phone(507) 451-1120
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 28, 2016
Last NPPES UpdateOctober 5, 20203 updates tracked since enumeration
NPPES CertifiedOctober 5, 2020
✔ NPI 1417308701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in MN · 5070✔ Licensed in MN · 2445948✔ Licensed in MD · R204304
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2200 NW 26TH ST, Owatonna, MN 55060
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Secondary Practice Location 1

Location 1200 1st St SWRochester, MN 55905-0001 · Phone (507) 284-2511

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

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

Kimberly De Paulo 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 ID6103107990
PECOS Enrollment IDI20170329001973
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

5

Medicare enrollment records show Kimberly De Paulo reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mayo Clinic Health System-Southeast Minnesota Region
Same address
Multi-Specialty
2200 NW 26TH ST
Owatonna, MN 55060
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1063435410 (Minnesota)
  • 1,571 clinicians in this Medicare group
NPI 1275060030 (507) 451-1120
Mayo Clinic Health System-Southwest Minnesota Region
13 mi
Multi-Specialty
501 STATE ST N
Waseca, MN 56093
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1740256668 (Minnesota), NPI 1124035282 (Minnesota)
  • 1,572 clinicians in this Medicare group
NPI 1518494251 (507) 835-1210
Mayo Clinic Health System-Lake City
53 mi
Critical Access
500 W GRANT ST
Lake City, MN 55041
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1164463659 (Minnesota)
  • 675 clinicians in this Medicare group
NPI 1538113022 (651) 345-3321
Mayo Clinic Health System-St James
68 mi
Critical Access
1101 MOULTON AND PARSONS DR
Saint James, MN 56081
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1023177730 (Minnesota)
  • 390 clinicians in this Medicare group
NPI 1639198732 (507) 375-3261
Mayo Clinic Health System-Fairmont
68 mi
Multi-Specialty
800 MEDICAL CENTER DR
Fairmont, MN 56031
  • Reassigned Medicare billing, Minnesota enrollment
  • 806 clinicians in this Medicare group
NPI 1366410862 (507) 238-8100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
75 services74 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
39 services39 patients

Hospital Affiliations CMS Care Compare 2

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

Mayo Clinic Health System In Red Wing

Acute Care Hospitals · Red Wing, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240018
Location701 Hewitt BoulevardRed Wing, MN 55066 · Goodhue County
Emergency services Birthing friendly

Mayo Clinic Health System - Cannon Falls

Critical Access Hospitals · Cannon Falls, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241346
Location32021 County 24 BoulevardCannon Falls, MN 55009 · Goodhue County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55060 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.

KAYLA MARIE COOK PA-C
Physician Assistant
2200 NW 26TH ST
OWATONNA, MN 55060
Steele County (507) 451-1120
MR. ADAM CHRISTOPHER BRANDL FNP-BC
Nurse Practitioner
2200 NW 26TH ST
OWATONNA, MN 55060
Steele County (507) 444-5041
ANASTASHA MOLINA PA
Physician Assistant
2200 NW 26TH ST
OWATONNA, MN 55060
Steele County (507) 451-1120
CHARLES R SANDHOFER MD
Internal Medicine
2200 NW 26TH ST
OWATONNA, MN 55060
Steele County (507) 451-1120
MRS. JODIE MARIE SMITH ARNP, FNP-BC
Nurse Practitioner (Family)
2200 NW 26TH ST
OWATONNA, MN 55060
Steele County (507) 451-1120
DR. TYLER JOSEPH STUDER MD
Radiology (Diagnostic Radiology)
2200 NW 26TH ST
OWATONNA, MN 55060
Steele County (507) 451-1120
TANVEER-E-FATEMA ROSHANALI HASSAM MD
Hospitalist
2200 NW 26TH ST
OWATONNA, MN 55060
Steele County (451) 112-0507
ALLEN TAO HSING HUANG MD
Ophthalmology
2200 NW 26TH ST
OWATONNA, MN 55060
Steele County (507) 451-1120

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 Kimberly De Paulo's NPI number?

The NPI number for Kimberly De Paulo is 1417308701. It was assigned to this individual provider in the NPPES registry on June 28, 2016.

Where is Kimberly De Paulo located?

Kimberly De Paulo practices at 2200 NW 26th St, Owatonna, MN 55060. The listed phone number is (507) 451-1120.

What is Kimberly De Paulo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kimberly De Paulo enrolled in Medicare?

Yes. Kimberly De Paulo 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 Kimberly De Paulo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly De Paulo reassigns Medicare benefits to 5 organizations: Mayo Clinic Health System-Southeast Minnesota Region (Owatonna, MN), Mayo Clinic Health System-Southwest Minnesota Region (Waseca, MN), Mayo Clinic Health System-Lake City (Lake City, MN), Mayo Clinic Health System-St James (Saint James, MN) and Mayo Clinic Health System-Fairmont (Fairmont, MN). 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 Kimberly De Paulo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly De Paulo accept?

Health plans from HealthPartners list Kimberly De Paulo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kimberly De Paulo affiliated with any hospitals?

According to CMS data, Kimberly De Paulo is affiliated with Mayo Clinic Health System In Red Wing and Mayo Clinic Health System - Cannon Falls.

When was this NPI record last updated?

The NPPES record for Kimberly De Paulo was last updated on October 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.