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DR. KIMBERLY HUGHES MD
NPI 1689165987
Pediatrics in Saint Cloud, MN

Active since May 22, 2018PECOS EnrolledAccepts Medicare Assignment
1900 CENTRACARE CIR STE 1300, SAINT CLOUD, MN 56303(320) 654-3610 Get Directions Write a Review

NPPES record last updated: December 7, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 7, 2021, May 22, 2018 (2 updates tracked since 2018).

About Dr. Kimberly Hughes Md NPPES

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

DR. KIMBERLY HUGHES MD (NPI 1689165987) is an individual pediatrics provider in Saint Cloud, Minnesota, licensed in Minnesota (132883) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (2018).

NPPES Registry Identity

NPI1689165987
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KIMBERLY HUGHESCredential: MD
Location Address1900 CENTRACARE CIR STE 1300Saint Cloud, MN 56303-5000
Mailing Address1900 Centracare Cir Ste 1300Saint Cloud, MN 56303-5000 · (320) 654-3610
Phone(320) 654-3610
Sole ProprietorYes
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2018
Enumeration DateMay 22, 2018
Last NPPES UpdateDecember 7, 20212 updates tracked since enumeration
NPPES CertifiedDecember 7, 2021
✔ NPI 1689165987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MN · 132883
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1900 CENTRACARE CIR STE 1300, Saint Cloud, MN 56303
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Sanford Health Plan.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

Dr. Kimberly Hughes 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 ID5799189783
PECOS Enrollment IDI20210812003684
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56303 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 4

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

MADELINE MANGIN MD
Pediatrics
1900 CENTRACARE CIR STE 1300
SAINT CLOUD, MN 56303
Stearns County (320) 654-3610
ABBY BOELTER LPN, IBCLC
Lactation Consultant, Non-RN
1900 CENTRACARE CIR STE 1300
SAINT CLOUD, MN 56303
Stearns County (320) 654-3610
NATALIE MCINTIRE MD
Pediatrics
1900 CENTRACARE CIR STE 1300
SAINT CLOUD, MN 56303
Stearns County (320) 654-3610
KENDRA A CHRISTIANSEN
Social Worker (Clinical)
1900 CENTRACARE CIR STE 1300
SAINT CLOUD, MN 56303
Stearns County (320) 656-3610

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 Hughes's NPI number?

The NPI number for Kimberly Hughes is 1689165987. It was assigned to this individual provider in the NPPES registry on May 22, 2018.

Where is Kimberly Hughes located?

Kimberly Hughes practices at 1900 Centracare Cir Ste 1300, Saint Cloud, MN 56303. The listed phone number is (320) 654-3610.

What is Kimberly Hughes's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kimberly Hughes enrolled in Medicare?

Yes. Kimberly Hughes 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 Hughes accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Kimberly Hughes 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 Kimberly Hughes was last updated on December 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.