KILEY RAE PRONSCHINSKE MSW, LICSW
NPI 1811658727
Social Worker - Clinical in Duluth, MN

Active since January 03, 2022PECOS EnrolledAccepts Medicare Assignment
81.72/100
CMS Quality Rating
810 E 4TH ST, DULUTH, MN 55805(218) 624-5683(218) 624-5736 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kiley Rae Pronschinske Msw, Licsw NPPES

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

KILEY RAE PRONSCHINSKE MSW, LICSW (NPI 1811658727) is an individual clinical provider in Duluth, Minnesota, licensed in Minnesota (28199) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1811658727
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKILEY RAE PRONSCHINSKECredential: MSW, LICSW
Location Address810 E 4TH STDuluth, MN 55805-2147
Mailing Address1401 East 1st StreetDuluth, MN 55805-2407 · (218) 728-4491 · Fax (218) 302-8698
Fax(218) 624-5736
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 3, 2022
NPPES CertifiedJanuary 3, 2022
NPI 1811658727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MN · 28199
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
810 E 4TH ST, Duluth, MN 55805

Secondary Practice Locations 3

Location 1325 11th AveTwo Harbors, MN 55616-1300 · Phone (218) 834-5520 · Fax (218) 834-4264
Location 21401 East 1st StreetDuluth, MN 55805-2407 · Phone (218) 728-4491 · Fax (218) 302-8698
Location 340 11th StCloquet, MN 55720-1817 · Phone (218) 879-4559 · Fax (218) 879-0282

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

Kiley Rae Pronschinske Msw, Licsw 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 ID9739572363
PECOS Enrollment IDI20220203001030
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 3

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.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
45 services16 patients
Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
19 services12 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55805 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
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.86
Promoting Interoperability100
Improvement Activities40
Cost59.73

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.

Social Worker (Clinical)
810 E 4TH ST
DULUTH, MN 55805
Social Worker (Clinical)
810 E 4TH ST
DULUTH, MN 55805
Counselor (Professional)
810 E 4TH ST
DULUTH, MN 55805
Social Worker (Clinical)
810 E 4TH ST
DULUTH, MN 55805
Social Worker (Clinical)
810 E 4TH ST
DULUTH, MN 55805
Social Worker (Clinical)
810 E 4TH ST
DULUTH, MN 55805
Nurse Practitioner (Psychiatric/Mental Health)
810 E 4TH ST
DULUTH, MN 55805
Registered Nurse (Psychiatric/Mental Health)
810 E 4TH ST
DULUTH, MN 55805

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 Kiley Pronschinske's NPI number?

The NPI number for Kiley Pronschinske is 1811658727. It was assigned to this individual provider in the NPPES registry on January 3, 2022.

Where is Kiley Pronschinske located?

Kiley Pronschinske practices at 810 E 4th St, Duluth, MN 55805. The listed phone number is (218) 624-5683.

What is Kiley Pronschinske's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kiley Pronschinske enrolled in Medicare?

Yes. Kiley Pronschinske 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.

When was this NPI record last updated?

The NPPES record for Kiley Pronschinske was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.