Individual provider Active NPI

Stephanie Ann Kimmes, APRN CNP

  • Family Nurse Practitioner
  • Austin, MN
National Provider Identifier
1215992706
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R117259-7 Issued in MN
Practice address
Helpcare Clinic
308 4TH Ave NW
Austin, MN 55912
Phone
(507) 279-2345
Fax
(833) 340-7428
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R117259-7 MN
Pediatric Nurse Practitioner 363LP0200X R-117259-7 MN
Family Nurse Practitioner 363LF0000X R117259-7 MN Primary

Addresses

Primary practice location

Helpcare Clinic
308 4TH Ave NW
Austin, MN 55912

Mailing address

325 1St Ave NE
Oronoco, MN 55960
Phone (507) 259-2846

Other practice location 1

2530 Horizon Dr
Burnsville, MN 55337-3091
Phone (651) 209-8640

Other identifiers 3

IdentifierTypeStateIssuer
410993700MedicaidMN
ENROLLEDMedicaidMN
ENROLLEDMedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Previously, effective Aug 27, 2024 through Aug 27, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1836MNMDOptometrist
R117259-7MNMDFamily Nurse Practitioner
R-117259-7MNMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spark Health, LLC PastSince Jan 2, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: stephanie.kimmes@533814900228100.direct.elationemr.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1215992706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 1ST AVE NE",
            "city": "ORONOCO",
            "state": "MN",
            "postal_code": "55960",
            "telephone_number": "507-259-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HELPCARE CLINIC",
            "address_2": "308 4TH AVE NW",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "55912",
            "telephone_number": "507-279-2345",
            "fax_number": "833-340-7428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2530 Horizon Dr",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553373091",
            "country_code": "US",
            "telephone_number": "651-209-8640",
            "fax_number": "651-209-8690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMMES",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "credential": "APRN  CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "R117259-7",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MN",
            "license": "R-117259-7",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R117259-7",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "410993700",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, MN

Sources for this page

Verify at the official NPI Registry.