KATHERINE ELIZABETH TILLEY MD
NPI 1679156756
Emergency Medicine in Bloomington, MN

Q: What is Katherine Tilley's NPI number?

The NPI number for Katherine Tilley is 1679156756. It was assigned to this individual provider in the NPPES registry on May 5, 2021. The provider is also known as Katherine Elizabeth Tehaney MD.

Q: What is Katherine Tilley's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Katherine Tilley was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since May 05, 2021PECOS EnrolledAccepts Medicare Assignment

4300 MARKET PTE DR STE 100, BLOOMINGTON, MN 55435(952) 767-4574 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 22, 2026, Dec 15, 2025, May 23, 2023 and 1 more (4 updates tracked since 2021).

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About Katherine Elizabeth Tilley Md NPPES

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

KATHERINE ELIZABETH TILLEY MD (NPI 1679156756) is an individual emergency medicine provider in Bloomington, Minnesota, licensed in Minnesota (81218) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Regions Hospital, and maintains a secondary practice location in Saint Paul.

NPPES Registry Identity

NPI1679156756

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameKATHERINE ELIZABETH TILLEYCredential: MD

Location Address4300 MARKET PTE DR STE 100Bloomington, MN 55435-5435

Mailing Address4300 Market Pte Dr Ste 100Bloomington, MN 55435-5435 · (952) 767-4574

Phone(952) 767-4574

Sole ProprietorYes

Medical School CMSRush Medical College Of Rush UniversityGraduated 2023

Enumeration DateMay 5, 2021

Last NPPES UpdateMay 22, 20264 updates tracked since enumeration

NPPES CertifiedMay 22, 2026

✔ NPI 1679156756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in MN · 81218

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

4300 MARKET PTE DR STE 100, Bloomington, MN 55435

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Other Names 1

Former Name (1)Katherine Elizabeth Tehaney Md

Secondary Practice Location 1

Location 1640 Jackson StSaint Paul, MN 55101-2502 · Phone (651) 254-3456

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 Elizabeth Tilley Md 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 ID9234628793

PECOS Enrollment IDI20260120003110

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.

Hospital Affiliations CMS Care Compare

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

Regions Hospital

Acute Care Hospitals · Saint Paul, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240106

Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55435 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 20

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

MICHAEL CHARLES LICK

Physician Assistant