KANEISHA MONIQUE THOMPSON
NPI 1972168870
Family Medicine in Owatonna, MN

Q: What is Kaneisha Thompson's NPI number?

The NPI number for Kaneisha Thompson is 1972168870. It was assigned to this individual provider in the NPPES registry on May 6, 2019.

Q: What is Kaneisha Thompson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kaneisha Thompson was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since May 06, 2019PECOS EnrolledAccepts Medicare Assignment

2200 NW 26TH ST, OWATONNA, MN 55060(507) 451-1120 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 10, 2026, Oct 10, 2022, May 6, 2019 (3 updates tracked since 2019).

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About Kaneisha Monique Thompson NPPES

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

KANEISHA MONIQUE THOMPSON (NPI 1972168870) is an individual family medicine provider in Owatonna, Minnesota, licensed in Minnesota (72491) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System - Albert Lea And Austin, and maintains a secondary practice location in Jackson.

NPPES Registry Identity

NPI1972168870

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKANEISHA MONIQUE THOMPSON

Location Address2200 NW 26TH STOwatonna, MN 55060-5503

Mailing Address2200 Nw 26th StOwatonna, MN 55060-5503 · (507) 451-1120

Phone(507) 451-1120

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMay 6, 2019

Last NPPES UpdateMarch 10, 20263 updates tracked since enumeration

NPPES CertifiedMarch 10, 2026

✔ NPI 1972168870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MN · 72491

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2200 NW 26TH ST, Owatonna, MN 55060

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Secondary Practice Location 1

Location 1878 Lakeland DrJackson, MS 39216-4644 · Phone (601) 984-6800 · Fax (601) 984-6811

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kaneisha Monique Thompson 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 ID2062743008

PECOS Enrollment IDI20221019000337, I20260528000212

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

Medicare enrollment records show Kaneisha Thompson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mayo Clinic Health System-Southeast Minnesota Region

Same address

Multi-Specialty

2200 NW 26TH ST
Owatonna, MN 55060

Reassigned Medicare billing, Minnesota enrollment
Also billed through NPI 1063435410 (Minnesota)
1,571 clinicians in this Medicare group

NPI 1275060030 (507) 451-1120

Mayo Clinic Health System-Southwest Minnesota Region

13 mi

Multi-Specialty

501 STATE ST N
Waseca, MN 56093

Reassigned Medicare billing, Minnesota enrollment
Also billed through NPI 1740256668 (Minnesota), NPI 1124035282 (Minnesota)
1,572 clinicians in this Medicare group

NPI 1518494251 (507) 835-1210

Mayo Clinic Health System-Lake City

53 mi

Critical Access

500 W GRANT ST
Lake City, MN 55041

Reassigned Medicare billing, Minnesota enrollment
Also billed through NPI 1164463659 (Minnesota)
675 clinicians in this Medicare group

NPI 1538113022 (651) 345-3321

Lonestar Hospital Medicine Associates, PA

823 mi

Hospitalist

2700 E BROAD ST
Mansfield, TX 76063

Reassigned Medicare billing, Texas enrollment
994 clinicians in this Medicare group

NPI 1518237429 (682) 622-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

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 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.

121 services82 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

59 services59 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

42 services42 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

41 services41 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

34 services30 patients

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.

33 services30 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mayo Clinic Health System - Albert Lea And Austin

Acute Care Hospitals · Albert Lea, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240043

Location404 West Fountain StreetAlbert Lea, MN 56007 · Freeborn County

Emergency services Birthing friendly

Owatonna Hospital

Acute Care Hospitals · Owatonna, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number240069

Location2250 26th Street NorthwestOwatonna, MN 55060 · Steele County

Emergency services Birthing friendly

Mayo Clinic Health System - Mankato

Acute Care Hospitals · Mankato, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240093

Location1025 Marsh StreetMankato, MN 56001 · Blue Earth County

Emergency services Birthing friendly

Mayo Clinic Health System - Waseca

Critical Access Hospitals · Waseca, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241345

Location501 North State StreetWaseca, MN 56093 · Waseca County

Emergency services

Methodist Charlton Medical Center

Acute Care Hospitals · Dallas, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450723

Location3500 W Wheatland RoadDallas, TX 75237 · Dallas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55060 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 20

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

KAYLA MARIE COOK PA-C

Physician Assistant