KATIE JO AILABOUNI RN, CNP
NPI 1649685546
Nurse Practitioner - Family in Burnsville, MN
About Katie Jo Ailabouni Rn, Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATIE JO AILABOUNI RN, CNP (NPI 1649685546) is an individual family provider in Burnsville, Minnesota, licensed in Minnesota (195420-7) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Big Lake, and is a graduate of Georgetown University School Of Medicine (2014).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
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
Katie Jo Ailabouni Rn, 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.
Medicare Billing Reassignments
2Medicare enrollment records show Katie Ailabouni reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Apple Valley, MN 55124
- Reassigned Medicare billing, Minnesota enrollment
- 2,609 clinicians in this Medicare group
Savage, MN 55378
- Reassigned Medicare billing, Minnesota enrollment
- 320 clinicians in this Medicare group
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 6
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55337 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BURNSVILLE, MN 55337
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 Katie Ailabouni's NPI number?
The NPI number for Katie Ailabouni is 1649685546. It was assigned to this individual provider in the NPPES registry on June 30, 2014. The provider is also known as Katie Jo Rudnitski.
Where is Katie Ailabouni located?
Katie Ailabouni practices at 14000 Nicollet Ave Ste 100, Burnsville, MN 55337. The listed phone number is (952) 428-0200.
What is Katie Ailabouni's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Katie Ailabouni enrolled in Medicare?
Yes. Katie Ailabouni 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 Katie Ailabouni's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katie Ailabouni reassigns Medicare benefits to 2 organizations: Allina Health System (Apple Valley, MN) and St Francis Regional Medical Center (Savage, 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 Katie Ailabouni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Katie Ailabouni was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Katie Jo Ailabouni, RN, CNP · NPI 1649685546
Family physician in Burnsville, Minnesota. Individual provider, active in the CMS NPPES registry since June 30, 2014.
## Identity
- **NPI:** 1649685546 (Entity type: Individual)
- **Enumerated:** June 30, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 195420-7 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 14000 NICOLLET AVE STE 100, Burnsville, MN 55337-5793
- **Phone:** (952) 428-0200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Allina Health System (NPI 1700427499, Apple Valley, MN); St Francis Regional Medical Center (NPI 1689103442, Savage, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Georgetown University School Of Medicine, class of 2014
## Record status
- **NPPES last updated:** March 11, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1649685546) · Data from the CMS NPPES public registry.