Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SARA ANN KULLBERG PEARSON MD
NPI 1508445487
Dermatology in Minneapolis, MN

Q: What is Sara Kullberg Pearson's NPI number?

The NPI number for Sara Kullberg Pearson is 1508445487. It was assigned to this individual provider in the NPPES registry on April 7, 2021. The provider is also known as Sara Ann Kullberg MD.

Q: What is Sara Kullberg Pearson's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Active since April 07, 2021PECOS Enrolled

715 S 8TH ST, MINNEAPOLIS, MN 55404(612) 873-6963 Get Directions Write a Review

NPPES record last updated: October 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 16, 2026, May 10, 2024, Apr 13, 2022 and 1 more (4 updates tracked since 2021).

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About Sara Ann Kullberg Pearson Md NPPES

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

SARA ANN KULLBERG PEARSON MD (NPI 1508445487) is an individual dermatology provider in Minneapolis, Minnesota, licensed in Minnesota (82143) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1508445487

Entity TypeIndividualFemale

Primary Taxonomy207N00000X

Provider Legal NameSARA ANN KULLBERG PEARSONCredential: MD

Location Address715 S 8TH STMinneapolis, MN 55404-7530

Mailing Address701 Park AveMinneapolis, MN 55415-1623 · (612) 873-3000

Phone(612) 873-6963

Sole ProprietorNo

Enumeration DateApril 7, 2021

Last NPPES UpdateOctober 16, 20264 updates tracked since enumeration

NPPES CertifiedOctober 16, 2026

✔ NPI 1508445487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in MN · 82143

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License 82143 (MN)

715 S 8TH ST, Minneapolis, MN 55404

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Other Names 1

Professional Name (2)Sara Ann Kullberg Md

Secondary Practice Locations 3

Location 1701 Park AveMinneapolis, MN 55415-1623 · Phone (612) 873-3000

Location 2800 Washington Ave N Ste 190Minneapolis, MN 55401-7572 · Phone (612) 873-6963

Location 35653 Duluth StGolden Valley, MN 55422-4054 · Phone (612) 873-6963

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sara Ann Kullberg Pearson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Sara Kullberg Pearson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hennepin Healthcare System, Inc

0.1 mi

Rehabilitation Unit

701 PARK AVE, P1-FINANCE
Minneapolis, MN 55415

Reassigned Medicare billing, Minnesota enrollment
1,247 clinicians in this Medicare group

NPI 1033138136 (612) 873-3000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55404 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

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

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.

SARAH E JOHNSON RD LD

Dietitian, Registered