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JENNIFER H KYLLO MD
NPI 1679565774
Pediatrics - Pediatric Endocrinology in St Paul, MN

Active since August 16, 2005PECOS Enrolled
CHILDREN'S SPECIALTY CLINIC-DIABETES/ENDOCRINOLOGY-STPL, 347 NORTH SMITH AVENUE, ST PAUL, MN 55102(651) 220-6818(651) 220-6064 Get Directions Write a Review

NPPES record last updated: August 30, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jennifer H Kyllo Md NPPES

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

JENNIFER H KYLLO MD (NPI 1679565774) is an individual pediatric endocrinology provider in St Paul, Minnesota, licensed in Minnesota (39114) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679565774
Entity TypeIndividualFemale
Primary Taxonomy2080P0205X
Provider Legal NameJENNIFER H KYLLOCredential: MD
Location AddressCHILDREN'S SPECIALTY CLINIC-DIABETES/ENDOCRINOLOGY-STPL, 347 NORTH SMITH AVENUESt Paul, MN 55102
Mailing AddressChildren's Health Care, 2910 Centre Pointe Drive, 35-121aRoseville, MN 55113 · (651) 855-2327 · Fax (651) 855-2310
Phone(651) 220-6818
Fax(651) 220-6064
Sole ProprietorNo
Enumeration DateAugust 16, 2005
Last NPPES UpdateAugust 30, 2012
✔ NPI 1679565774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
License✔ Licensed in MN · 39114
Definition
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
CHILDREN'S SPECIALTY CLINIC-DIABETES/ENDOCRINOLOGY-STPL, St Paul, MN 55102
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Other Identifiers 2

Medicare UPINE98779
Medicaid328214700MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer H Kyllo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jennifer Kyllo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Childrens Health Care
0.8 mi
Multi-Specialty
345 NORTH SMITH AVENUE, CHILDRENS SPECIALTY CLINICS STPL
St Paul, MN 55102
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Children's Health Care
  • 551 clinicians in this Medicare group
NPI 1225132566 (651) 220-6000
Shriners Hospitals For Children
9.2 mi
Rehabilitation
215 RADIO DR STE 100
Woodbury, MN 55125
  • Reassigned Medicare billing, Minnesota enrollment
  • 35 clinicians in this Medicare group
NPI 1285250977 (612) 596-6100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55102 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
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

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

KRISHNA M SAXENA MD
Pediatrics (Pediatric Endocrinology)
CHILDREN'S SPECIALTY CLINIC-DIABETES/ENDOCRINOLOGY-STPL, 347 NORTH SMITH AVENUE
ST PAUL, MN 55102
Ramsey County (651) 220-6818

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 Jennifer Kyllo's NPI number?

The NPI number for Jennifer Kyllo is 1679565774. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Jennifer Kyllo located?

Jennifer Kyllo practices at Children's Specialty Clinic-Diabetes/Endocrinology-Stpl 347 North Smith Avenue, St Paul, MN 55102. The listed phone number is (651) 220-6818.

What is Jennifer Kyllo's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Is Jennifer Kyllo enrolled in Medicare?

Yes. Jennifer Kyllo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jennifer Kyllo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Kyllo reassigns Medicare benefits to 2 organizations: Childrens Health Care (St Paul, MN) and Shriners Hospitals For Children (Woodbury, 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 Jennifer Kyllo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Kyllo accept?

Health plans from AmeriHealth Caritas Next and HealthPartners list Jennifer Kyllo 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.

When was this NPI record last updated?

The NPPES record for Jennifer Kyllo was last updated on August 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.