KATHLEEN MUFFLY MD
NPI 1760469894
Pediatrics in Eagan, MN
About Kathleen Muffly Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN MUFFLY MD (NPI 1760469894) is an individual pediatrics provider in Eagan, Minnesota, licensed in Minnesota (35069) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kathleen Muffly Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kathleen Muffly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Park Nicollet Clinic
- 2,527 clinicians in this Medicare group
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 55122 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Kathleen Muffly's NPI number?
The NPI number for Kathleen Muffly is 1760469894. It was assigned to this individual provider in the NPPES registry on December 29, 2005.
Where is Kathleen Muffly located?
Kathleen Muffly practices at 1885 Plaza Dr, Eagan, MN 55122. The listed phone number is (952) 993-4001.
What is Kathleen Muffly's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Kathleen Muffly enrolled in Medicare?
Yes. Kathleen Muffly is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kathleen Muffly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Muffly reassigns Medicare benefits to Park Nicollet Methodist Hospital (St Louis Park, MN). The 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 Kathleen Muffly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kathleen Muffly accept?
Health plans from HealthPartners list Kathleen Muffly 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 Kathleen Muffly was last updated on October 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Kathleen Muffly, MD · NPI 1760469894
Pediatrics physician in Eagan, Minnesota. Individual provider, active in the CMS NPPES registry since December 29, 2005.
## Identity
- **NPI:** 1760469894 (Entity type: Individual)
- **Enumerated:** December 29, 2005
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 35069 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1885 PLAZA DR, Eagan, MN 55122-2612
- **Phone:** (952) 993-4001
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Park Nicollet Methodist Hospital (NPI 1194113217, St Louis Park, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 18, 2011
- **Other identifiers:** Medicare UPIN F13234 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1760469894) · Data from the CMS NPPES public registry.