NPIMap

Individual provider Active NPI

Kristen Jeanne Fried, M.D.

  • Obstetrics & Gynecology Physician
  • Lilydale, MN
National Provider Identifier
1013283555
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
61047 Issued in MN
Practice address
971 Sibley Memorial Hwy Ste 350
Lilydale, MN 55118-2856
Phone
(651) 770-3320
NPI assigned
Mar 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 61047 MN Primary

Addresses

Primary practice location

971 Sibley Memorial Hwy Ste 350
Lilydale, MN 55118-2856

Mailing address

250 6TH St E
#821
Saint Paul, MN 55101-4911
Phone (816) 404-0886

Other practice location 1

250 6th St E
#821
Saint Paul, MN 55101-4911
Phone (816) 404-4175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160801000405 MN Practitioner - Obstetrics/Gynecology 6204139751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of North Dakota School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier OBGYN of Minnesota PLLCGroup PAC ID 1355396110, 88 clinicians

Practice addresses (Care Compare)

2945 Hazelwood St
Suite 210
Maplewood, MN 55109-1243
Phone (651) 770-3320

Hospital & facility affiliations

  • M Health Fairview University of MN Medical Center Hospital, Minneapolis, MN, CCN 240080
  • M Health Fairview St John'S Hospital Hospital, Maplewood, MN, CCN 240210

Merit-based Incentive Payment System (MIPS)

Final score
87.24 of 100Reported as group
Quality
86.35
Promoting interoperability
100
Improvement activities
40
Cost
71.1

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
61047MNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Women'S Care, P.a. Obstetrics & Gynecology CurrentSince Aug 1, 2016 Accepting new patients
Premier OBGYN of Minnesota PLLC Obstetrics & Gynecology CurrentSince Feb 1, 2018 Accepting new patients
Metropolitan Obstetrics & Gynecology Obstetrics & Gynecology Past Accepting new patients
Genneve Medical P.C. PastSince Jul 21, 2024 Accepting new patients
Healtheast St. John'S Hospital Past Accepting new patients
Healtheast Woodwinds Hospital Past Accepting new patients

Locations

2945 Hazelwood St
Ste 210
Saint Paul, MN 55109
Phone (651) 770-3320

971 Sibley Memorial Hwy
Ste 350
Saint Paul, MN 55118
Phone (651) 770-3320

1875 Woodwinds Dr
Ste 100
Woodbury, MN 55125
Phone (651) 232-6380

1687 Woodlane Dr
Ste 101
Woodbury, MN 55125
Phone (651) 209-6263

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FAHCDA
  • Direct secure messaging: kristen.fried.1@20897.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1013283555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 6TH ST E",
            "address_2": "#821",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551014911",
            "telephone_number": "816-404-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 SIBLEY MEMORIAL HWY STE 350",
            "city": "LILYDALE",
            "state": "MN",
            "postal_code": "551182856",
            "telephone_number": "651-770-3320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 6th St E",
            "address_2": "#821",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551014911",
            "country_code": "US",
            "telephone_number": "816-404-4175",
            "fax_number": "816-404-0003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIED",
        "first_name": "KRISTEN",
        "middle_name": "JEANNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MN",
            "license": "61047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lilydale, MN

Sources for this page

Verify at the official NPI Registry.