ANDRIA MARGOLIS KAPLAN CNP
NPI 1417776121
Nurse Practitioner - Family in Duluth, MN

Active since October 09, 2024PECOS EnrolledAccepts Medicare Assignment
580 MARSHALL ST, DULUTH, MN 55803(405) 823-2349 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Andria Margolis Kaplan Cnp NPPES

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

ANDRIA MARGOLIS KAPLAN CNP (NPI 1417776121) is an individual family provider in Duluth, Minnesota, licensed in Minnesota (12134) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1417776121
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANDRIA MARGOLIS KAPLANCredential: CNP
Location Address580 MARSHALL STDuluth, MN 55803-1981
Mailing Address580 Marshall StDuluth, MN 55803-1981 · (405) 823-2349
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 9, 2024
NPPES CertifiedOctober 9, 2024
NPI 1417776121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MN · 12134
580 MARSHALL ST, Duluth, MN 55803

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Andria Margolis Kaplan Cnp 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 ID7517470438
PECOS Enrollment IDI20250702002087
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

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

St Lukes Hospital

Acute Care Hospitals · Duluth, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240047
Location915 East 1st StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55803 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.

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 Andria Kaplan's NPI number?

The NPI number for Andria Kaplan is 1417776121. It was assigned to this individual provider in the NPPES registry on October 9, 2024.

Where is Andria Kaplan located?

Andria Kaplan practices at 580 Marshall St, Duluth, MN 55803. The listed phone number is (405) 823-2349.

What is Andria Kaplan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Andria Kaplan enrolled in Medicare?

Yes. Andria Kaplan 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.

What insurance does Andria Kaplan accept?

Health plans from HealthPartners and Medica list Andria Kaplan 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 Andria Kaplan affiliated with any hospitals?

According to CMS data, Andria Kaplan is affiliated with St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Andria Kaplan was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.