KISHA PATTERSON OTR/L
NPI 1649729567
Occupational Therapist in St Louis Park, MN
About Kisha Patterson Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KISHA PATTERSON OTR/L (NPI 1649729567) is an individual occupational therapist in St Louis Park, Minnesota, licensed in Minnesota (105251) and active in the NPI registry since October 2016.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kisha Patterson Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kisha Patterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- 2,527 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.
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.
SAINT LOUIS PARK, MN 55416
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 Kisha Patterson's NPI number?
The NPI number for Kisha Patterson is 1649729567. It was assigned to this individual provider in the NPPES registry on October 4, 2016.
Where is Kisha Patterson located?
Kisha Patterson practices at 3525 Monterey Dr, St Louis Park, MN 55416. The listed phone number is (952) 993-6200.
What is Kisha Patterson's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Kisha Patterson enrolled in Medicare?
Yes. Kisha Patterson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kisha Patterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kisha Patterson reassigns Medicare benefits to Park Nicollet Clinic (St Louis Park, MN). The 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 Kisha Patterson'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 Kisha Patterson was last updated on March 10, 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.