KATHERINE MARIE WICKSTROM CNP
NPI 1629813704
Nurse Practitioner - Family in Oakdale, MN

Active since June 28, 2024PECOS EnrolledAccepts Medicare Assignment
1099 HELMO AVE N STE 100, OAKDALE, MN 55128(651) 326-5300 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katherine Marie Wickstrom Cnp NPPES

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

KATHERINE MARIE WICKSTROM CNP (NPI 1629813704) is an individual family provider in Oakdale, Minnesota, licensed in Minnesota (F06242189) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview St John's Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1629813704
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHERINE MARIE WICKSTROMCredential: CNP
Location Address1099 HELMO AVE N STE 100Oakdale, MN 55128-6034
Mailing Address2828 Highway 88St Anthony, MN 55418-3243 · (605) 254-3402
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJune 28, 2024
NPPES CertifiedJune 19, 2024
NPI 1629813704 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 · F06242189
1099 HELMO AVE N STE 100, Oakdale, MN 55128

Other Names 1

Former Name (1)Katherine Marie Leddy

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

Katherine Marie Wickstrom 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 ID3678010568
PECOS Enrollment IDI20240809000979
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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services11 patients

Hospital Affiliations CMS Care Compare 2

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, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240210
Location1575 Beam AvenueMaplewood, MN 55109 · Ramsey County
Emergency services Birthing friendly

M Health Fairview Woodwinds Hospital

Acute Care Hospitals · Woodbury, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240213
Location1925 Woodwinds DriveWoodbury, MN 55125 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55128 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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1099 HELMO AVE N STE 100
OAKDALE, MN 55128
Nurse Practitioner (Family)
1099 HELMO AVE N STE 100
OAKDALE, MN 55128
Family Medicine
1099 HELMO AVE N STE 100
OAKDALE, MN 55128
Family Medicine
1099 HELMO AVE N STE 100
OAKDALE, MN 55128
Family Medicine
1099 HELMO AVE N STE 100
OAKDALE, MN 55128
Nurse Practitioner (Family)
1099 HELMO AVE N STE 100
OAKDALE, MN 55128

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 Katherine Wickstrom's NPI number?

The NPI number for Katherine Wickstrom is 1629813704. It was assigned to this individual provider in the NPPES registry on June 28, 2024. The provider is also known as Katherine Marie Leddy.

Where is Katherine Wickstrom located?

Katherine Wickstrom practices at 1099 Helmo Ave N Ste 100, Oakdale, MN 55128. The listed phone number is (651) 326-5300.

What is Katherine Wickstrom's specialty?

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

Is Katherine Wickstrom enrolled in Medicare?

Yes. Katherine Wickstrom 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 Katherine Wickstrom accept?

Health plans from Medica and Sanford Health Plan list Katherine Wickstrom 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 Katherine Wickstrom affiliated with any hospitals?

According to CMS data, Katherine Wickstrom is affiliated with M Health Fairview St John's Hospital and M Health Fairview Woodwinds Hospital.

When was this NPI record last updated?

The NPPES record for Katherine Wickstrom was last updated on June 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.