NPIMap

Individual provider Active NPI

Kathryn Nicole Bjelland, PA-C

  • Physician Assistant
  • Edina, MN
National Provider Identifier
1265986350
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
12468 Issued in MN
Practice address
6363 France Ave S Ste 500
Edina, MN 55435-2135
Phone
(612) 625-6401
NPI assigned
Aug 7, 2016
Last updated
Aug 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X SD
Physician Assistant 363A00000X 1051 SD
Physician Assistant 363A00000X 12468 MN Primary

Addresses

Primary practice location

6363 France Ave S Ste 500
Edina, MN 55435-2135

Mailing address

6363 France Ave S
Edina, MN 55435-2129

Other practice location 1

6100 S Louise Ave Ste 1110
Sioux Falls, SD 57108-6030
Phone (605) 504-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, SD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171003007496 MN Practitioner - Physician Assistant 6406121359 Reassigns benefits to 3 organizations
I20190214000461 SD Practitioner - Physician Assistant 6406121359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fairview Specialty ServicesGroup PAC ID 3072083286, 303 clinicians
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians

Practice addresses (Care Compare)

14500 99TH Ave N
Maple Grove, MN 55369-4730

14500 99TH Ave N
Suite 100
Maple Grove, MN 55369-4738
Phone (763) 898-1000

1700 University Ave W
Saint Paul, MN 55104-3727
Phone (855) 324-7843

45 10TH St W
Saint Paul, MN 55102-1062

500 Harvard St SE
Minneapolis, MN 55455-0363
Phone (612) 672-7422

6363 France Ave S
Edina, MN 55435-2140

6363 France Ave S
Suite 500
Edina, MN 55435-2135
Phone (952) 920-7660

6401 France Ave S
Edina, MN 55435-2104
Phone (952) 924-5000

717 Delaware St SE
Suite 340
Minneapolis, MN 55414-2959
Phone (612) 672-7422

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1051SDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Minnesota Health Clinics and Surgery Center Inc CurrentSince Aug 1, 2022 Accepting new patients
Avera McKennan CurrentSince Nov 14, 2018 Accepting new patients
University of Minnesota Health Clinics and Surgery Center, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Avera McKennan CurrentSince Nov 14, 2018 Accepting new patients
University of Minnesota Physicians CurrentSince Aug 1, 2022 Accepting new patients
Fairview Express Care CurrentSince Aug 1, 2022 Accepting new patients
University of Minnesota Physicians CurrentSince Aug 1, 2022 Accepting new patients
Fairview Express Care CurrentSince Aug 1, 2022 Accepting new patients
Fairview Express Care Past Accepting new patients

Locations

201 E Nicollet Blvd
Burnsville, MN 55337
Phone (952) 892-2000

6363 France Ave S
Ste 500
Edina, MN 55435
Phone (952) 920-7660

14500 99th Ave N
Ste 100
Maple Grove, MN 55369
Phone (763) 898-1000

6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

720 Washington Ave SE
Ste 300
Minneapolis, MN 55414
Phone (612) 884-0331

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342

1200 S 7th Ave
Sioux Falls, SD 57105
Phone (605) 336-2140

1417 S Cliff Ave
Ste 401
Sioux Falls, SD 57105
Phone (605) 322-8920

6100 S Louise Ave
Ste 1110
Sioux Falls, SD 57108
Phone (605) 322-6700

911 E 20th St
Ste 509
Sioux Falls, SD 57105
Phone (605) 322-5800

Interoperability endpoints

  • Direct secure messaging: kathryn.bjelland@avera.sdhealthlink.net
  • Direct secure messaging: kbjelland726454@fairview.direct-ci.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 9

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": "1470528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1265986350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6363 FRANCE AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 FRANCE AVE S STE 500",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352135",
            "telephone_number": "612-625-6401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6100 S Louise Ave Ste 1110",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571086030",
            "country_code": "US",
            "telephone_number": "605-504-1900",
            "fax_number": "605-504-1901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BJELLAND",
        "first_name": "KATHRYN",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-07",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "1051",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "12468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.