KATHRYN A WUSSOW MD
NPI 1972680015
Emergency Medicine in St Paul, MN
About Kathryn A Wussow Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHRYN A WUSSOW MD (NPI 1972680015) is an individual emergency medicine provider in St Paul, Minnesota, licensed in Minnesota (33357) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kathryn A Wussow Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kathryn Wussow reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Minneapolis, MN 55404
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Children's Health Care
- 551 clinicians in this Medicare group
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.
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.
ST PAUL, MN 55102
ST PAUL, MN 55102
ST PAUL, MN 55102
ST PAUL, MN 55102
ST PAUL, MN 55102
ST PAUL, MN 55102
ST PAUL, MN 55102
ST PAUL, MN 55102
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 Kathryn Wussow's NPI number?
The NPI number for Kathryn Wussow is 1972680015. It was assigned to this individual provider in the NPPES registry on November 1, 2006.
Where is Kathryn Wussow located?
Kathryn Wussow practices at 345 North Smith Avenue Childrens Hospitals And Clinics Of Minnesota Emergency, St Paul, MN 55102. The listed phone number is (651) 220-6914.
What is Kathryn Wussow's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Kathryn Wussow enrolled in Medicare?
Yes. Kathryn Wussow is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kathryn Wussow's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Wussow reassigns Medicare benefits to Childrens Health Care (Minneapolis, MN). The 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 Kathryn Wussow'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 Kathryn Wussow was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Kathryn A Wussow, MD · NPI 1972680015
Emergency Medicine physician in St Paul, Minnesota. Individual provider, active in the CMS NPPES registry since November 1, 2006.
## Identity
- **NPI:** 1972680015 (Entity type: Individual)
- **Enumerated:** November 1, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 33357 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 345 NORTH SMITH AVENUE, CHILDRENS HOSPITALS AND CLINICS OF MINNESOTA EMERGENCY, St Paul, MN 55102
- **Phone:** (651) 220-6914
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Childrens Health Care (NPI 1053410928, Minneapolis, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1972680015) · Data from the CMS NPPES public registry.