Individual provider Active NPI

Kevin Nicholas Christensen, MD

  • Dermatology Physician
  • Rochester, MN
National Provider Identifier
1487946026
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
55584 Issued in MN
Practice address
4270 Maine Ave SE Ste 300
Rochester, MN 55904-6936
Phone
(507) 206-3211
Fax
(507) 206-3040
NPI assigned
May 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 106319 MN
Dermatology Physician 207N00000X 55584 MN Primary

Addresses

Primary practice location

4270 Maine Ave SE Ste 300
Rochester, MN 55904-6936

Mailing address

4270 Maine Ave SE Ste 300
Rochester, MN 55904-6936
Phone (507) 206-3211

Other identifiers 2

IdentifierTypeStateIssuer
ENROLLEDMedicaidMN
P01261102OtherMNRAILROAD MEDICARE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kchristensen334545@excellian.direct.allina.com Direct
Direct Messaging Address mhouse@mndermatologypartners.com Direct Dermatology Partners PLLC

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
I20120807000180 MN Practitioner - Dermatology 9032365093 Reassigns benefits to 6 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System CurrentSince Dec 12, 2016 Accepting new patients
Allina Health System CurrentSince Dec 12, 2016 Accepting new patients
Allina Health System Current Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince Jun 3, 2024 Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince Jun 3, 2024 Accepting new patients
Mayo Clinic Health System-Lake City Current Accepting new patients
Allina Health System CurrentSince Dec 31, 2022 Accepting new patients
Dermatology Partners PLLC Dermatology CurrentSince Sep 17, 2022 Accepting new patients
Winona Health Services CurrentSince Jul 1, 2016 Accepting new patients
Allina Health System Current Accepting new patients
Mayo Clinic Past Accepting new patients
Allina Health System Past Accepting new patients

Locations

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

500 W Grant St
Lake City, MN 55041
Phone (651) 345-3321

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

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

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

4270 Maine Ave SE
Ste 300
Rochester, MN 55904
Phone (507) 206-0788

1021 Bandana Blvd E
Ste 100
Saint Paul, MN 55108
Phone (877) 414-2533

1200 Grant Blvd W
Wabasha, MN 55981
Phone (651) 565-4531

855 Mankato Ave
Winona, MN 55987
Phone (507) 454-3680

Interoperability endpoints

  • Direct secure messaging: kchristensen879512@direct.emplifyhealth.org
  • Direct secure messaging: kevin.christensen.1@28077.direct.athenahealth.com

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 2

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

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Mayo Medical School, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Elizabeths Hospital of Wabasha Inc 93 clinicians
Dermatology Partners PLLC 2 clinicians
Allina Health System 3,844 clinicians
Winona Health Services 160 clinicians

Practice addresses (Care Compare)

1200 Grant Blvd W
Wabasha, MN 55981-1042
Phone (651) 565-4531

4270 Maine Ave SE
Suite 300
Rochester, MN 55904-6936
Phone (507) 206-0788

440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225

800 E 28TH St
Minneapolis, MN 55407-3723
Phone (612) 863-3110

855 Mankato Ave
Winona, MN 55987-4868
Phone (507) 454-3650

Hospital & facility affiliations

  • Winona Health Services Hospital, Winona, MN, CCN 240044
  • St Elizabeth Medical Center Hospital, Wabasha, MN, CCN 241335

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision110
Removal of skin lesions37
Removal of skin cancer662
Removal or shaving of skin growth1-10
Skin biopsy48

NPI Registry JSON

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1487946026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4270 MAINE AVE SE STE 300",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559046936",
            "telephone_number": "507-206-3211",
            "fax_number": "507-206-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4270 MAINE AVE SE STE 300",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559046936",
            "telephone_number": "507-206-3211",
            "fax_number": "507-206-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "KEVIN",
        "middle_name": "NICHOLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-13",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "106319",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "55584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01261102",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kchristensen334545@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "1021 Bandana Blvd E Ste 100",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551085109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mhouse@mndermatologypartners.com",
            "affiliation": "Y",
            "affiliationName": "Dermatology Partners PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4270 Maine Ave SE Ste 300",
            "city": "Rochester",
            "state": "MN",
            "country_code": "US",
            "postal_code": "559046936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.