Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MILDRED DENISE KIAWOIN FNP
NPI 1710592530
Nurse Practitioner - Family in Saint Paul, MN

Q: What is Mildred Kiawoin's NPI number?

The NPI number for Mildred Kiawoin is 1710592530. It was assigned to this individual provider in the NPPES registry on September 9, 2020.

Q: What is Mildred Kiawoin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mildred Kiawoin was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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 September 09, 2020PECOS Enrolled

777 RAYMOND AVE, SAINT PAUL, MN 55114(651) 447-3755 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 11, 2026, Sep 9, 2020 (2 updates tracked since 2020).

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About Mildred Denise Kiawoin Fnp NPPES

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

MILDRED DENISE KIAWOIN FNP (NPI 1710592530) is an individual family provider in Saint Paul, Minnesota, licensed in Arizona (267064) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1710592530

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMILDRED DENISE KIAWOINCredential: FNP

Location Address777 RAYMOND AVESaint Paul, MN 55114-1522

Mailing Address11901 Central Park WayMaple Grove, MN 55369-2651 · (763) 807-5334

Phone(651) 447-3755

Sole ProprietorNo

Enumeration DateSeptember 9, 2020

Last NPPES UpdateAugust 11, 20262 updates tracked since enumeration

NPPES CertifiedAugust 11, 2026

✔ NPI 1710592530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AZ · 267064

Also ListedRegistered NurseTaxonomy 163W00000X · License 2149914 (MN)

Also ListedNurse PractitionerTaxonomy 363L00000X · License 8864 (MN)

777 RAYMOND AVE, Saint Paul, MN 55114

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Secondary Practice Location 1

Location 12525 Chicago AveMinneapolis, MN 55404-4518 · Phone (651) 813-6140

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mildred Denise Kiawoin Fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55114 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 9

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

WESLEY NATHAN WORMINGTON PA-C

Physician Assistant