KIMBERLY DAWN PETTINELLI NP
NPI 1659664852
Nurse Practitioner in Hibbing, MN

Active since May 20, 2011PECOS EnrolledAccepts Medicare Assignment
95/100
CMS Quality Rating
3605 MAYFAIR AVE, HIBBING, MN 55746(218) 262-3441(218) 362-6908 Get Directions Write a Review

NPPES record last updated: May 6, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Dawn Pettinelli Np NPPES

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

KIMBERLY DAWN PETTINELLI NP (NPI 1659664852) is an individual nurse practitioner in Hibbing, Minnesota, licensed in Minnesota (129504-7) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS, is affiliated with University Medical Center-mesabi/ Mesaba Clinics, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1659664852
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKIMBERLY DAWN PETTINELLICredential: NP
Location Address3605 MAYFAIR AVEHibbing, MN 55746-2935
Mailing Address3605 Mayfair AveHibbing, MN 55746-2935 · (218) 262-3441 · Fax (218) 362-6908
Fax(218) 362-6908
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 20, 2011
Last NPPES UpdateMay 6, 2014
NPI 1659664852 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 · 129504-7
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.
3605 MAYFAIR AVE, Hibbing, MN 55746

Other Identifiers 2

Other500006831MN · Mn Medicare Number Ptan
Medicaid1659664852MN

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

Kimberly Dawn Pettinelli Np 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 ID1759559107
PECOS Enrollment IDI20110729000405
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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
40 services22 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Medical Center-Mesabi/ Mesaba Clinics

Acute Care Hospitals · Hibbing, MN
OwnershipVoluntary non-profit - Other
CMS Certification Number240040
Location750 East 34th StHibbing, MN 55746 · St. Louis County
Birthing friendly

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

Cook Hospital

Critical Access Hospitals · Cook, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241312
Location10 SE Fifth StCook, MN 55723 · St. Louis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55746 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.

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.

95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.67
Promoting Interoperability100
Improvement Activities40
Cost75

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.

Internal Medicine
3605 MAYFAIR AVE
HIBBING, MN 55746
Pediatrics
3605 MAYFAIR AVE
HIBBING, MN 55746
Nurse Practitioner (Adult Health)
3605 MAYFAIR AVE, FAIRVIEW MESABA CLINIC
HIBBING, MN 55746
Obstetrics & Gynecology
3605 MAYFAIR AVE, MESABA CLINICS
HIBBING, MN 55746
Pharmacy (Community/Retail Pharmacy)
3605 MAYFAIR AVE
HIBBING, MN 55746
Family Medicine
3605 MAYFAIR AVE
HIBBING, MN 55746
Family Medicine
3605 MAYFAIR AVE
HIBBING, MN 55746
Nurse Practitioner
3605 MAYFAIR AVE
HIBBING, MN 55746

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 Kimberly Pettinelli's NPI number?

The NPI number for Kimberly Pettinelli is 1659664852. It was assigned to this individual provider in the NPPES registry on May 20, 2011.

Where is Kimberly Pettinelli located?

Kimberly Pettinelli practices at 3605 Mayfair Ave, Hibbing, MN 55746. The listed phone number is (218) 262-3441.

What is Kimberly Pettinelli's specialty?

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

Is Kimberly Pettinelli enrolled in Medicare?

Yes. Kimberly Pettinelli 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 Kimberly Pettinelli accept?

Health plans from Medica list Kimberly Pettinelli 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 Kimberly Pettinelli affiliated with any hospitals?

According to CMS data, Kimberly Pettinelli is affiliated with University Medical Center-Mesabi/ Mesaba Clinics, M Health Fairview University Of Mn and Cook Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Pettinelli was last updated on May 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.