Individual provider Active NPI

Katharine Krepp, MD

  • Family Medicine Physician
  • Brooklyn Center, MN
National Provider Identifier
1346970019
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
80546 Issued in MN
Practice address
5615 Xerxes Ave N Ste D
Brooklyn Center, MN 55430-2819
Phone
(763) 581-2273
Fax
(763) 581-5631
NPI assigned
Jun 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 80546 MN Primary

Addresses

Primary practice location

5615 Xerxes Ave N Ste D
Brooklyn Center, MN 55430-2819

Mailing address

5615 Xerxes Ave N Ste D
Brooklyn Center, MN 55430-2819
Phone (763) 581-2273

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250729002796 MN Practitioner - Family Practice 8820505381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Memorial Health CareGroup PAC ID 0042123028, 502 clinicians

Practice addresses (Care Compare)

5615 Xerxes Ave N
Suite D
Brooklyn Center, MN 55430-2820
Phone (763) 581-2273

Hospital & facility affiliations

  • North Memorial Health Hospital Hospital, Robbinsdale, MN, CCN 240001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
80546MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Memorial Health Care CurrentSince Aug 1, 2025 Accepting new patients
North Memorial Health Care CurrentSince Aug 1, 2025 Accepting new patients
North Memorial Health Care Current Accepting new patients

Locations

5615 Xerxes Ave N
Ste D
Brooklyn Center, MN 55430
Phone (763) 581-5630

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

Interoperability endpoints

  • Direct secure messaging: kkrepp2789414@direct.trinity-health.org
  • Direct secure messaging: kkrepp215108@direct.northmemorial.com

Organizations & group practices 3

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": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1346970019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 XERXES AVE N STE D",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302819",
            "telephone_number": "763-581-2273",
            "fax_number": "763-581-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 XERXES AVE N STE D",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302819",
            "telephone_number": "763-581-2273",
            "fax_number": "763-581-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREPP",
        "first_name": "KATHARINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "80546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Center, MN

Sources for this page

Verify at the official NPI Registry.