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KRISTIN M DETTMER APRN
NPI 1851478895
Nurse Practitioner - Pediatrics in St Paul, MN

Active since November 01, 2006PECOS Enrolled
345 NORTH SMITH AVE, CHILDRENS HOSPITALS AND CLINICS OF MINNESOTA, ST PAUL, MN 55102(651) 220-6914 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kristin M Dettmer Aprn NPPES

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

KRISTIN M DETTMER APRN (NPI 1851478895) is an individual pediatrics provider in St Paul, Minnesota, licensed in Minnesota (357) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851478895
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKRISTIN M DETTMERCredential: APRN
Location Address345 NORTH SMITH AVE, CHILDRENS HOSPITALS AND CLINICS OF MINNESOTASt Paul, MN 55102
Mailing Address2910 Centre Pointe Dr 35-121a, Childrens Health CareRoseville, MN 55113 · (651) 855-2327 · Fax (651) 855-2310
Phone(651) 220-6914
Sole ProprietorNo
Enumeration DateNovember 1, 2006
Last NPPES UpdateNovember 12, 2024
NPPES CertifiedNovember 12, 2024
✔ NPI 1851478895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MN · 357
345 NORTH SMITH AVE, St Paul, MN 55102
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Other Identifiers 1

Medicaid797603800MN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristin M Dettmer Aprn 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Kristin Dettmer reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Childrens Health Care
Same address
Multi-Specialty
345 NORTH SMITH AVENUE, CHILDRENS SPECIALTY CLINICS STPL
St Paul, MN 55102
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Children's Health Care
  • 551 clinicians in this Medicare group
NPI 1225132566 (651) 220-6000
Allina Health System
Same address
Obstetrics & Gynecology
347 SMITH AVE N STE 204
Saint Paul, MN 55102
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,733 clinicians in this Medicare group
NPI 1275789091 (651) 241-6270
Emergency Care Consultants, PA
5.6 mi
Emergency Medicine
2829 UNIVERSITY AVE SE STE 730
Minneapolis, MN 55414
  • Reassigned Medicare billing, Minnesota enrollment
  • 218 clinicians in this Medicare group
NPI 1669422788 (612) 439-1862

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 55102 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.

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 Kristin Dettmer's NPI number?

The NPI number for Kristin Dettmer is 1851478895. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Kristin Dettmer located?

Kristin Dettmer practices at 345 North Smith Ave Childrens Hospitals And Clinics Of Minnesota, St Paul, MN 55102. The listed phone number is (651) 220-6914.

What is Kristin Dettmer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kristin Dettmer enrolled in Medicare?

Yes. Kristin Dettmer is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kristin Dettmer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Dettmer reassigns Medicare benefits to 3 organizations: Childrens Health Care (St Paul, MN), Allina Health System (Saint Paul, MN) and Emergency Care Consultants, PA (Minneapolis, MN). Each 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 Kristin Dettmer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kristin Dettmer was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.