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MRS. ALLYSSA MAE KITTOCK PA
NPI 1902203045
Physician Assistant in St Louis Park, MN

Active since December 03, 2014PECOS EnrolledAccepts Medicare Assignment
5400 EXCELSIOR BLVD, ST LOUIS PARK, MN 55416(952) 993-1000(952) 993-1160 Get Directions Write a Review

NPPES record last updated: June 29, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Allyssa Mae Kittock Pa NPPES

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

MRS. ALLYSSA MAE KITTOCK PA (NPI 1902203045) is an individual physician assistant in St Louis Park, Minnesota and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1902203045
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. ALLYSSA MAE KITTOCKCredential: PA
Location Address5400 EXCELSIOR BLVDSt Louis Park, MN 55416-2913
Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516
Phone(952) 993-1000
Fax(952) 993-1160
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 3, 2014
Last NPPES UpdateJune 29, 2022
NPPES CertifiedJune 29, 2022
✔ NPI 1902203045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
5400 EXCELSIOR BLVD, St Louis Park, MN 55416
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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. Allyssa Mae Kittock Pa 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 ID2860711264
PECOS Enrollment IDI20150506002677
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 9

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 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.
111 services88 patients
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.
100 services94 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
51 services42 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
42 services21 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
41 services33 patients
Simple insertion of temporary bladder tube 51702
This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.
35 services31 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 55416 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.

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. KYLE PETER MICHELSON MD
Urology
5400 EXCELSIOR BLVD
SAINT LOUIS PARK, MN 55416
Hennepin County (952) 993-3190
MS. JILL ELIZABETH KUYAVA FNP
Nurse Practitioner (Family)
5400 EXCELSIOR BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-1000
DR. JOCELYN MARY DELIA RIEDER
Urology
5400 EXCELSIOR BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-1000
MADISON JOY CLEMENS APRN
Nurse Practitioner
5400 EXCELSIOR BLVD
MINNEAPOLIS, MN 55416
Hennepin County (320) 291-3539
DR. JAMES HO-MING KONG M.D.
Surgery (Plastic and Reconstructive Surgery)
5400 EXCELSIOR BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3150
DR. NATHAN B HOFFMAN MD
Urology
5400 EXCELSIOR BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3190
JACOB ARI CARTER ALBERSHEIM MD
Urology
5400 EXCELSIOR BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3190
ANGELA TARCON APRN, CNP
Nurse Practitioner
5400 EXCELSIOR BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-1000

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 Allyssa Kittock's NPI number?

The NPI number for Allyssa Kittock is 1902203045. It was assigned to this individual provider in the NPPES registry on December 3, 2014.

Where is Allyssa Kittock located?

Allyssa Kittock practices at 5400 Excelsior Blvd, St Louis Park, MN 55416. The listed phone number is (952) 993-1000.

What is Allyssa Kittock's specialty?

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

Is Allyssa Kittock enrolled in Medicare?

Yes. Allyssa Kittock 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.

What insurance does Allyssa Kittock accept?

Health plans from HealthPartners and Medica list Allyssa Kittock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Allyssa Kittock affiliated with any hospitals?

According to CMS data, Allyssa Kittock is affiliated with Park Nicollet Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Allyssa Kittock was last updated on June 29, 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.