KATHLEEN AVERILL NP
NPI 1851570956
Nurse Practitioner - Pediatrics in Minneapolis, MN

Q: What is Kathleen Averill's NPI number?

The NPI number for Kathleen Averill is 1851570956. It was assigned to this individual provider in the NPPES registry on October 25, 2007.

Q: What is Kathleen Averill's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kathleen Averill was last updated on January 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since October 25, 2007PECOS Enrolled

2535 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414(612) 672-2350 Get Directions Write a Review

NPPES record last updated: January 4, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Kathleen Averill Np NPPES

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

KATHLEEN AVERILL NP (NPI 1851570956) is an individual pediatrics provider in Minneapolis, Minnesota, licensed in Illinois (209-004900) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Moline.

NPPES Registry Identity

NPI1851570956

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameKATHLEEN AVERILLCredential: NP

Location Address2535 UNIVERSITY AVE SEMinneapolis, MN 55414-3205

Mailing Address1625 Avenue Of The CitiesMoline, IL 61265-4856 · (309) 797-5437 · Fax (309) 797-3140

Phone(612) 672-2350

Sole ProprietorNo

Enumeration DateOctober 25, 2007

Last NPPES UpdateJanuary 4, 2019

✔ NPI 1851570956 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 IL · 209-004900

2535 UNIVERSITY AVE SE, Minneapolis, MN 55414

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Secondary Practice Location 1

Location 11625 Avenue Of The CitiesMoline, IL 61265-4856 · Phone (309) 797-5437 · Fax (309) 797-3140

Other Identifiers 2

Other209-004900IL · Cnp License

Other6134MN · Board Of Nursing

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 (PECOS)

Kathleen Averill Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55414 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 13

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

DR. EMILY CRAY BORMAN-SHOAP M.D.

Pediatrics