Individual provider Active NPI

Kimberlee Ann Thielen, M.D.

  • Nephrology Physician
  • Richfield, MN
National Provider Identifier
1356362164
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
34968 Issued in MN
Practice address
6601 Lyndale Ave S
Suite 220
Richfield, MN 55423-2477
Phone
(612) 823-8001
Fax
(612) 823-1010
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 34968 MN Primary

Addresses

Primary practice location

6601 Lyndale Ave S
Suite 220
Richfield, MN 55423-2477

Mailing address

6200 Shingle Creek Pkwy Ste 260
Brooklyn Center, MN 55430-2128
Phone (763) 561-5349

Other identifiers 9

IdentifierTypeStateIssuer
3113111OtherMNMEDICA
490793100MedicaidMN
110130174OtherMNRAILROAD MEDICARE
HP20119OtherMNHEALTHPARTNERS
IM1772OtherMNAMERICA'S PPO
110385C028OtherMNUCARE
32534000MedicaidWI
01T58THOtherMNBCBSMN
1011156OtherMNPREFERRED ONE

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
I20100301000215 MN Practitioner - NephrologyPractitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 9335058247 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regency Hospital of Minneapolis, LLC CurrentSince Sep 29, 2018 Accepting new patients
Allina Health System CurrentSince Oct 1, 2015 Accepting new patients
North Memorial Health Care CurrentSince Nov 1, 2017 Accepting new patients
Allina Health System Current Accepting new patients
North Memorial Health Care Current Accepting new patients
Allina Health System CurrentSince Oct 1, 2015 Accepting new patients
Ilbnc, P.a. Past Accepting new patients

Locations

800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

1300 Hidden Lakes Pkwy
Minneapolis, MN 55422
Phone (763) 588-2750

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

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

4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332

Organizations & group practices 7

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1356362164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 SHINGLE CREEK PKWY STE 260",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302128",
            "telephone_number": "763-561-5349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 LYNDALE AVE S",
            "address_2": "SUITE 220",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232477",
            "telephone_number": "612-823-8001",
            "fax_number": "612-823-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIELEN",
        "first_name": "KIMBERLEE",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MN",
            "license": "34968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "3113111",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490793100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110130174",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HP20119",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICA'S PPO",
            "identifier": "IM1772",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "110385C028",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32534000",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMN",
            "identifier": "01T58TH",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1011156",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richfield, MN

Sources for this page

Verify at the official NPI Registry.