DR. KATRINA GREENWALT MD
NPI 1861249252
Student in an Organized Health Care Education/Training Program in Saint Paul, MN

Active since May 02, 2024PECOS Enrolled
640 JACKSON ST, SAINT PAUL, MN 55101(651) 254-3456 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 1, 2024, May 2, 2024 (2 updates tracked since 2024).

About Dr. Katrina Greenwalt Md NPPES

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

DR. KATRINA GREENWALT MD (NPI 1861249252) is an individual student in an organized health care education/training program in Saint Paul, Minnesota and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861249252
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. KATRINA GREENWALTCredential: MD
Location Address640 JACKSON STSaint Paul, MN 55101-2595
Mailing Address640 Jackson StSaint Paul, MN 55101-2595 · (651) 254-3456
Sole ProprietorNo
Enumeration DateMay 2, 2024
Last NPPES UpdateAugust 1, 20242 updates tracked since enumeration
NPPES CertifiedAugust 1, 2024
NPI 1861249252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
640 JACKSON ST, Saint Paul, MN 55101

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Katrina Greenwalt Md 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.

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.

Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Nurse Anesthetist, Certified Registered
640 JACKSON ST
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Nurse Anesthetist, Certified Registered
640 JACKSON ST
SAINT PAUL, MN 55101
Orthopaedic Surgery
640 JACKSON ST
SAINT PAUL, MN 55101
Nurse Anesthetist, Certified Registered
640 JACKSON ST, MAIL STOP 11503P
ST PAUL, MN 55101
Pathology (Anatomic Pathology & Clinical Pathology)
640 JACKSON ST, MC 11103E
ST PAUL, MN 55101

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 Katrina Greenwalt's NPI number?

The NPI number for Katrina Greenwalt is 1861249252. It was assigned to this individual provider in the NPPES registry on May 2, 2024.

Where is Katrina Greenwalt located?

Katrina Greenwalt practices at 640 Jackson St, Saint Paul, MN 55101. The listed phone number is (651) 254-3456.

What is Katrina Greenwalt's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Katrina Greenwalt enrolled in Medicare?

Yes. Katrina Greenwalt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katrina Greenwalt was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.