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

MARY KIDDER
NPI 1528020922
Nurse Practitioner in Saint Paul, MN

Active since April 03, 2006
153 CESAR CHAVEZ ST, SAINT PAUL, MN 55107(651) 222-1816(651) 602-7517 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Kidder NPPES

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

MARY KIDDER (NPI 1528020922) is an individual nurse practitioner in Saint Paul, Minnesota, licensed in Minnesota (113653-3) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1528020922
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARY KIDDER
Location Address153 CESAR CHAVEZ STSaint Paul, MN 55107-2226
Mailing Address2601 40th Ave SMinneapolis, MN 55406-1862
Phone(651) 222-1816
Fax(651) 602-7517
Sole ProprietorNo
Enumeration DateApril 3, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1528020922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MN · 113653-3
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.
153 CESAR CHAVEZ ST, Saint Paul, MN 55107
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Other Identifiers 5

Other1200702MN · Medica
OtherNA9021022925MN · Preferred One
OtherHP30371MS · Health Partners
Other72Q60KIMN · Bcbs
Other127696MN · Ucare

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.

JEANNE RANCONE
Nurse Practitioner
153 CESAR CHAVEZ ST
SAINT PAUL, MN 55107
Ramsey County (651) 222-1816
SHAUN SAVA PA-C
Physician Assistant (Medical)
153 CESAR CHAVEZ ST
SAINT PAUL, MN 55107
Ramsey County (651) 389-2540
DR. JUSTIN LEE ANDERSON PHARMD
Pharmacist
153 CESAR CHAVEZ ST
SAINT PAUL, MN 55107
Ramsey County (651) 602-7589
LISA SMITH CNM
Advanced Practice Midwife
153 CESAR CHAVEZ ST, WESTSIDE COMMUNITY HEALTH SERVICES, INC.
W. ST. PAUL, MN 55107
Ramsey County (651) 602-7552
KAREN WOLF
Nurse Practitioner
153 CESAR CHAVEZ ST
SAINT PAUL, MN 55107
Ramsey County (651) 222-1816
ISETTA PIERRE MA, LMFT
Marriage & Family Therapist
153 CESAR CHAVEZ ST
SAINT PAUL, MN 55107
Ramsey County (651) 602-7500
MS. CHELSEA OKORAFOR CNM
Advanced Practice Midwife
153 CESAR CHAVEZ ST
SAINT PAUL, MN 55107
Ramsey County (651) 602-7500
TAMARA JACKMAN
Advanced Practice Midwife
153 CESAR CHAVEZ ST
SAINT PAUL, MN 55107
Ramsey County (651) 222-1816

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 Mary Kidder's NPI number?

The NPI number for Mary Kidder is 1528020922. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is Mary Kidder located?

Mary Kidder practices at 153 Cesar Chavez St, Saint Paul, MN 55107. The listed phone number is (651) 222-1816.

What is Mary Kidder's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Kidder was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.