Individual provider Active NPI

Kirstiane N Bilyeu, MSW, LICSW

  • Clinical Social Worker
  • Aitkin, MN
National Provider Identifier
1316429145
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24956 Issued in MN
Practice address
206 Bunker Hill Drive
Aitkin, MN 56431
Phone
(218) 927-2121
NPI assigned
Aug 29, 2018
Last updated
Dec 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 24956 MN Primary

Addresses

Primary practice location

206 Bunker Hill Drive
Aitkin, MN 56431

Mailing address

206 Bunker Hill Drive
Aitkin, MN 56431

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kbilyeu465230@excellian.direct.allina.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181019002465 MN Practitioner - Clinical Social Worker 7214280395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Minnesota, Duluth School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aitkin Community Hospital IncGroup PAC ID 4981514692, 96 clinicians

Practice addresses (Care Compare)

200 Bunker Hill Dr
Aitkin, MN 56431-1865
Phone (218) 927-2121

601 Bunker Hill Dr
Aitkin, MN 56431-1864
Phone (218) 394-2490

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24956MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aitkin Community Hospital, Inc. Current Accepting new patients
Aitkin Community Hospital, Inc. CurrentSince Dec 16, 2019 Accepting new patients
Aitkin Community Hospital, Inc. CurrentSince Dec 16, 2019 Accepting new patients
Aitkin Community Hospital, Inc. Current Accepting new patients

Locations

200 Bunker Hill Dr
Aitkin, MN 56431
Phone (218) 927-2121

Interoperability endpoints

  • Direct secure messaging: kbilyeu465230@excellian.direct.allina.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1316429145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 BUNKER HILL DRIVE",
            "city": "AITKIN",
            "state": "MN",
            "postal_code": "56431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 BUNKER HILL DRIVE",
            "city": "AITKIN",
            "state": "MN",
            "postal_code": "56431",
            "telephone_number": "218-927-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILYEU",
        "first_name": "KIRSTIANE",
        "middle_name": "N",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2020-12-01",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "24956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbilyeu465230@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "206 Bunker Hill Drive",
            "city": "Aitkin",
            "state": "MN",
            "country_code": "US",
            "postal_code": "56431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aitkin, MN

Sources for this page

Verify at the official NPI Registry.