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COURTNEY KIESOW NP
NPI 1750759502
Nurse Practitioner - Women's Health in Minneapolis, MN

Active since September 10, 2015PECOS EnrolledAccepts Medicare Assignment
525 PORTLAND AVE, MINNEAPOLIS, MN 55415(612) 543-5555(612) 596-7900 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Courtney Kiesow Np NPPES

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

COURTNEY KIESOW NP (NPI 1750759502) is an individual women's health provider in Minneapolis, Minnesota, licensed in Minnesota (CNP4185) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, is affiliated with Hennepin County Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1750759502
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameCOURTNEY KIESOWCredential: NP
Location Address525 PORTLAND AVEMinneapolis, MN 55415-1533
Mailing Address525 Portland AveMinneapolis, MN 55415-1533 · (612) 596-7005 · Fax (612) 766-2522
Phone(612) 543-5555
Fax(612) 596-7900
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 10, 2015
Last NPPES UpdateOctober 22, 2024
NPPES CertifiedOctober 22, 2024
✔ NPI 1750759502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in MN · CNP4185
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License CNP4185 (MN)
525 PORTLAND AVE, Minneapolis, MN 55415
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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

Courtney Kiesow 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 ID9830499714
PECOS Enrollment IDI20151125000576
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.

Hennepin County Medical Center

Acute Care Hospitals · Minneapolis, MN
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number240004
Location701 Park AvenueMinneapolis, MN 55415 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55415 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.

LAURIE A MOSER MA
Marriage & Family Therapist
525 PORTLAND AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 596-7071
COMMUNITY OUTREACH FOR PSYCHIATRIC EMERGENCIES
Community/Behavioral Health
525 PORTLAND AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 596-1223
MS. RACHEL LUKASKI LPCC
Counselor (Professional)
525 PORTLAND AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 348-3016
MR. CHARLES WILSON JONES LMFT
Marriage & Family Therapist
525 PORTLAND AVE, MC 963
MINNEAPOLIS, MN 55415
Hennepin County (612) 348-2233
MS. TYNESSIA NICOLE CHEROKEE SNODDY MA, LADC, LPCC
Counselor (Professional)
525 PORTLAND AVE, MC 963
MINNEAPOLIS, MN 55415
Hennepin County (612) 596-1223
KRYSTAL MCKAY
Nurse Practitioner (Women's Health)
525 PORTLAND AVE, HSB 4TH FLOOR, MC 952
MINNEAPOLIS, MN 55415
Hennepin County (612) 348-9840
AMANDA GREGG PSY.D., L.P.
Psychologist (Clinical)
525 PORTLAND AVE, MC 963
MINNEAPOLIS, MN 55415
Hennepin County (612) 596-1223
MRS. BERNICE DAVID-COOPER LICSW
Social Worker (Clinical)
525 PORTLAND AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 348-1223

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 Courtney Kiesow's NPI number?

The NPI number for Courtney Kiesow is 1750759502. It was assigned to this individual provider in the NPPES registry on September 10, 2015.

Where is Courtney Kiesow located?

Courtney Kiesow practices at 525 Portland Ave, Minneapolis, MN 55415. The listed phone number is (612) 543-5555.

What is Courtney Kiesow's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Courtney Kiesow enrolled in Medicare?

Yes. Courtney Kiesow 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.

Is Courtney Kiesow affiliated with any hospitals?

According to CMS data, Courtney Kiesow is affiliated with Hennepin County Medical Center.

When was this NPI record last updated?

The NPPES record for Courtney Kiesow was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.