Individual provider Active NPI

Kristine M Chaudet, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Plymouth, MN
National Provider Identifier
1366972507
Registry record updated May 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
271010 Issued in MA
Practice address
9900 13TH Ave N Ste 2a
Plymouth, MN 55441-5069
Phone
(763) 525-0363
NPI assigned
Jun 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 271010 MA Primary

Addresses

Primary practice location

9900 13TH Ave N Ste 2a
Plymouth, MN 55441-5069

Mailing address

9900 13TH Ave N Ste 2a
Plymouth, MN 55441-5069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250327000692 NC Practitioner - Pathology 5991078214 Reassigns benefits to 1 organization
I20250421000464 SC Practitioner - Pathology 5991078214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Drexel University College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinas Pathology Group PAGroup PAC ID 3375529985, 50 clinicians

Practice addresses (Care Compare)

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2251

101 E Wood St
Spartanburg, SC 29303-3040
Phone (864) 560-6212

Hospital & facility affiliations

  • Carolinas Medical Center/Behav Health Hospital, Charlotte, NC, CCN 340113
  • St Francis-Downtown Hospital, Greenville, SC, CCN 420023
  • Atrium Health Pineville Hospital, Charlotte, NC, CCN 340098
  • Scotland Memorial Hospital Hospital, Laurinburg, NC, CCN 340008
  • Atrium Health University City Hospital, Charlotte, NC, CCN 340166

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Pathology Group, PA CurrentSince Apr 14, 2025 Accepting new patients
Carolinas Pathology Group, PA Anatomic Pathology & Clinical Pathology PastSince Nov 24, 2024 Accepting new patients
Twin Cities Dermatopathology, LLC PastSince Jun 4, 2023 Accepting new patients

Locations

301 Yadkin St
Albemarle, NC 28001
Phone (704) 984-4000

10628 Park Rd
Charlotte, NC 28210
Phone (704) 543-2000

6135 Lakeview Rd
Ste 350
Charlotte, NC 28269
Phone (704) 549-8444

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000

1000 Blythe Blvd
Fl 4
Charlotte, NC 28203
Phone (704) 355-8188

5040 Airport Center Pkwy
Charlotte, NC 28208
Phone (704) 446-4490

180 Parkwood Dr
Elkin, NC 28621
Phone (336) 527-7000

706 W King St
Kings Mtn, NC 28086
Phone (704) 730-5108

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

433 McAlister Rd
Lincolnton, NC 28092
Phone (704) 512-7000

1000 Healing Way
Matthews, NC 28104
Phone (800) 821-1535

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

201 E Grover St
Shelby, NC 28150
Phone (704) 487-3000

2301 US Highway 74 W
Wadesboro, NC 28170
Phone (704) 694-5131

1530 N Limestone St
Gaffney, SC 29340
Phone (864) 487-1544

1 Saint Francis Dr
Greenville, SC 29601
Phone (864) 225-1000

125 Commonwealth Dr
Greenville, SC 29615
Phone (864) 225-1800

250 Westmoreland Rd
Greer, SC 29651
Phone (864) 530-2108

1700 Skylyn Dr
Spartanburg, SC 29307
Phone (864) 573-3123

101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915

389 Serpentine Dr
Spartanburg, SC 29303
Phone (864) 560-3263

1201 Furman L Fendley Hwy
Union, SC 29379
Phone (864) 301-2000

Interoperability endpoints

  • Direct secure messaging: kchaudet2992903@carolinashealthcaresystem.direct-ci.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 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685318400000",
    "number": "1366972507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 13TH AVE N STE 2A",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554415069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 13TH AVE N STE 2A",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554415069",
            "telephone_number": "763-525-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDET",
        "first_name": "KRISTINE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MA",
            "license": "271010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

Verify at the official NPI Registry.