Active NPI
Kimberly Mary Staebell, NP-C
- Nurse Practitioner
- Mankato, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 9612
- Practice address
- 1025 Marsh St
Mankato, MN 56001-4752 - Phone
- (507) 625-4031
- NPI assigned
- Jun 29, 2021
- Last updated
- May 15, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | A164641 | IA | |
| Nurse Practitioner | 363L00000X | 9612 | MN | Primary |
| Registered Nurse | 163W00000X | R039896 | SD |
Addresses
Primary practice location
1025 Marsh St
Mankato, MN 56001-4752
Mailing address
1025 Marsh St
Mankato, MN 56001-4752
Phone (507) 625-4031
Other practice location 1
801 E Libby Ln
Sioux Falls, SD 57108-4658
Phone (605) 299-6252
Other practice location 2
801 5th St
Sioux City, IA 51101-1326
Phone (712) 279-2010
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kstaebell1781562@ehrdirect.mayoclinicmsg.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mayo Clinic Health System-Southwest Minnesota Region
Practice addresses (Care Compare)
1025 Marsh St
Mankato, MN 56001-4752
Phone (507) 625-4031
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R039896 | SD | MD | Registered Nurse |
| 9612 | MN | MD | Physician Assistant |
| A164641 | IA | MD | Nurse Practitioner |
Practice roles
Locations
29980 Network Pl
Chicago, IL 60673
404 W Fountain St
Albert Lea, MN 56007
Phone (507) 377-6285
1000 1st Dr NW
Austin, MN 55912
Phone (507) 433-7351
32021 County 24 Blvd
Cannon Falls, MN 55009
Phone (507) 263-6000
1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860
915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352
800 Medical Center Dr
Fairmont, MN 56031
Phone (507) 238-8100
1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481
500 W Grant St
Lake City, MN 55041
Phone (651) 345-3321
1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623
301 2nd St NE
New Prague, MN 56071
Phone (952) 758-4431
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
1101 Moulton and Parsons Dr
Saint James, MN 56081
Phone (507) 375-3261
501 State St N
Waseca, MN 56093
Phone (507) 781-8176
317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240
615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699
Interoperability endpoints
- kstaebell1781562@ehrdirect.mayoclinicmsg.org
Organizations & group practices 20
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rainy Lake Medical Center
- Critical Access Hospital
- International Falls, MN
- NPI 1528041183
-
- Multi-Specialty Clinic/Center
- Fairmont, MN
- NPI 1366410862
-
- Multi-Specialty Clinic/Center
- Lake City, MN
- NPI 1164463659
-
- Critical Access Hospital
- Lake City, MN
- NPI 1538113022
-
dba Mayo Clinic Health System-Cannon Falls
- Critical Access Hospital
- Cannon Falls, MN
- NPI 1063435410
-
dba Mayo Clinic Health System-New Prague
- Critical Access Hospital
- New Prague, MN
- NPI 1124035282
-
dba Mayo Clinic Health System - Mankato
- Multi-Specialty Clinic/Center
- Mankato, MN
- NPI 1578545422
-
dba Mayo Clinic Health System-Waseca
- Critical Access Hospital
- Waseca, MN
- NPI 1740256668
-
- Multi-Specialty Clinic/Center
- Saint James, MN
- NPI 1023177730
-
- Critical Access Hospital
- Saint James, MN
- NPI 1639198732
-
dba Aspirus St Lukes Hospital Inpatient Rehab
- Rehabilitation Hospital Unit
- Duluth, MN
- NPI 1902845068
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mayo Clinic Health System-Albert Lea and Austin
- General Acute Care Hospital
- Albert Lea, MN
- NPI 1346258100
-
dba Mayo Clinic Health System - Mankato
- General Acute Care Hospital
- Mankato, MN
- NPI 1154302487
-
dba Mayo Clinic Health System-Waseca
- Critical Access Hospital
- Waseca, MN
- NPI 1740256668
-
- Critical Access Hospital
- Saint James, MN
- NPI 1639198732
-
dba North Memorial Ambulance Service
- Ambulance
- Brooklyn Center, MN
- NPI 1538195912
Hospital
-
dba North Memorial Health Specialty Center - Robbinsdale
- Medical Specialty Clinic/Center
- Robbinsdale, MN
- NPI 1699953000
Hospital
-
dba North Memorial Health Hospital
- General Acute Care Hospital
- Robbinsdale, MN
- NPI 1851344907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747267200000",
"number": "1083284277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 MARSH ST",
"city": "MANKATO",
"state": "MN",
"postal_code": "560014752",
"telephone_number": "507-625-4031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 MARSH ST",
"city": "MANKATO",
"state": "MN",
"postal_code": "560014752",
"telephone_number": "507-625-4031"
}
],
"practiceLocations": [
{
"address_1": "801 E Libby Ln",
"address_purpose": "LOCATION",
"city": "Sioux Falls",
"state": "SD",
"postal_code": "571084658",
"country_code": "US",
"telephone_number": "605-299-6252",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "801 5th St",
"address_purpose": "LOCATION",
"city": "Sioux City",
"state": "IA",
"postal_code": "511011326",
"country_code": "US",
"telephone_number": "712-279-2010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STAEBELL",
"first_name": "KIMBERLY",
"middle_name": "MARY",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-29",
"last_updated": "2025-05-15",
"certification_date": "2025-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "A164641",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "9612",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SD",
"license": "R039896",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kstaebell1781562@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "1025 Marsh St",
"city": "Mankato",
"state": "MN",
"country_code": "US",
"postal_code": "560014752",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mankato, MN
- Eric Sprankle, PSY.D., L.P.
- Spring Park Center Limited Partnership (Old Main Village)
- John Adolph Springer, M.D.
- Jeyanthan Ramesh Srikanthan, MD
- Joni Lynn Stadtherr, L.I.C.S.W
- Carole A Staelgraeve, MS, LP
- Warren R Stanchfield Jr., MD
- Carmela Rose Faustina Stangeland
- Marcia Stapleton, LICSW
- Emily E Starman, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.