NPIMap

Individual provider Active NPI

Kaitlin J Hellie, MD

  • Nephrology Physician
  • Brooklyn Center, MN
National Provider Identifier
1598285348
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
64534 Issued in MN
Practice address
6200 Shingle Creek Pkwy Ste 260
Brooklyn Center, MN 55430-2128
Phone
(763) 544-0696
Fax
(763) 544-0984
NPI assigned
Jun 22, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 64534 MN
Nephrology Physician 207RN0300X 64534 MN Primary

Addresses

Primary practice location

6200 Shingle Creek Pkwy Ste 260
Brooklyn Center, MN 55430-2128

Mailing address

6200 Shingle Creek Pkwy Ste 260
Brooklyn Center, MN 55430-2128
Phone (763) 544-0696

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address khellie364680@excellian.direct.allina.com Direct
Direct Messaging Address khellie01@kidney-mn.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220309001019 MN Practitioner - NephrologyPractitioner - Internal Medicine 2466723465 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2017
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
Kidney Specialists of Minnesota, PAGroup PAC ID 5092616029, 33 clinicians

Practice addresses (Care Compare)

3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone (763) 520-4897

6200 Shingle Creek Pkwy
Suite 250
Brooklyn Center, MN 55430-2107
Phone (763) 544-0696

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
64534MNMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Memorial Health Care CurrentSince Jul 1, 2022 Accepting new patients
North Memorial Health Care Current Accepting new patients
Kidney Specialists of Minnesota, PA Nephrology CurrentSince Mar 1, 2022 Accepting new patients
Regency Hospital of Minneapolis, LLC CurrentSince Aug 12, 2022 Accepting new patients
Allina Health System Current Accepting new patients
North Memorial Health Care CurrentSince Jul 1, 2022 Accepting new patients
Ilbnc, P.a. PastSince Mar 1, 2022 Accepting new patients

Locations

6200 Shingle Creek Pkwy
Ste 260
Minneapolis, MN 55430
Phone (763) 544-0696

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

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

6200 Shingle Creek Pkwy
Ste 250
Minneapolis, MN 55430
Phone (612) 823-8001

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

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

6601 Lyndale Ave S
Ste 220
Richfield, MN 55423
Phone (612) 823-8001

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

1515 Saint Francis Ave
Ste 150
Shakopee, MN 55379
Phone (952) 403-3399

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

Interoperability endpoints

  • Direct secure messaging: khellie36999@direct.acumenmd.com
  • Direct secure messaging: khellie364680@excellian.direct.allina.com

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.

Hospital & facility affiliations 51

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

View all 51

NPI Registry JSON

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1598285348",
    "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": "763-544-0696",
            "fax_number": "612-262-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 SHINGLE CREEK PKWY STE 260",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302128",
            "telephone_number": "763-544-0696",
            "fax_number": "763-544-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLIE",
        "first_name": "KAITLIN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MN",
            "license": "64534",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MN",
            "license": "64534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khellie364680@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "2925 Chicago Ave",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554071321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khellie01@kidney-mn.com",
            "affiliation": "N",
            "address_1": "6200 Shingle Creek Pkwy Ste 260",
            "city": "Brooklyn Center",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554302128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn Center, MN

Sources for this page

Verify at the official NPI Registry.