MRS. KIMBERLY DAWN BLEASDALE PA-C
NPI 1790787745
Physician Assistant in New Hope, MN

Q: What is Kimberly Bleasdale's NPI number?

The NPI number for Kimberly Bleasdale is 1790787745. It was assigned to this individual provider in the NPPES registry on June 2, 2005. The provider is also known as Miss Kimberly Dawn Petryszyn Pa-C.

Q: What is Kimberly Bleasdale's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since June 02, 2005PECOS EnrolledAccepts Medicare Assignment

8301 47TH AVE N, NEW HOPE, MN 55428(763) 504-4935(763) 504-4932 Get Directions Write a Review

NPPES record last updated: May 18, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Kimberly Dawn Bleasdale Pa-c NPPES

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

MRS. KIMBERLY DAWN BLEASDALE PA-C (NPI 1790787745) is an individual physician assistant in New Hope, Minnesota, licensed in Minnesota (10493) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1790787745

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. KIMBERLY DAWN BLEASDALECredential: PA-C

Location Address8301 47TH AVE NNew Hope, MN 55428-4512

Mailing Address8301 47th Ave NNew Hope, MN 55428-4512 · (763) 504-4935 · Fax (763) 504-4932

Phone(763) 504-4935

Fax(763) 504-4932

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateJune 2, 2005

Last NPPES UpdateMay 18, 2015

✔ NPI 1790787745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MN · 10493

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

8301 47TH AVE N, New Hope, MN 55428

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Other Names 1

Former Name (1)Miss Kimberly Dawn Petryszyn Pa-c

Other Identifiers 2

Medicare UPINQ00561

Medicaid3810000864WV

Accepted Insurance

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

Mrs. Kimberly Dawn Bleasdale Pa-c 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 ID8820995251

PECOS Enrollment IDI20090402000375

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

27 services20 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

23 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240053

Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55428 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

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 11

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

RACHEL SIEGEL SLP

Speech-Language Pathologist