NPIMap

Individual provider Active NPI

Dianne M. Kendall, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Brainerd, MN
National Provider Identifier
1619945458
Registry record updated Jan 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
42419 Issued in MN
Practice address
523 N 3Rd St
Brainerd, MN 56401-3054
Phone
(218) 829-2861
Fax
(218) 828-7611
NPI assigned
Mar 9, 2006
Last updated
Jan 8, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2016

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 42419 MN Primary

Addresses

Primary practice location

523 N 3Rd St
Brainerd, MN 56401-3054

Mailing address

523 N 3Rd St
Brainerd, MN 56401-3054
Phone (218) 829-2861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, ND2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060130000434 MN Practitioner - Pathology 3375557390 Reassigns benefits to 11 organizations
I20200904001462 ND Practitioner - Pathology 3375557390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Minnesota Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Duluth Clinic LTDGroup PAC ID 2567374283, 1,135 clinicians

Practice addresses (Care Compare)

400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Duluth Clinic LTD CurrentSince Oct 26, 2020 Accepting new patients
First Care Medical Services CurrentSince Jan 1, 2026 Accepting new patients
Essentia Health Virginia, LLC CurrentSince Dec 15, 2020 Accepting new patients
Innovis Health LLC CurrentSince Aug 31, 2020 Accepting new patients
Deer River Healthcare Center, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Innovis Health, LLC Current Accepting new patients
The Duluth Clinic, LTD. CurrentSince Oct 26, 2020 Accepting new patients
Essentia Health Moose Lake CurrentSince Jan 11, 2026 Accepting new patients
Northern Pines Medical Center CurrentSince Jan 1, 2026 Accepting new patients
Brainerd Medical Center Inc Current Accepting new patients
Bridges Medical Center CurrentSince Jan 1, 2026 Accepting new patients
Pine Medical Center CurrentSince Jan 1, 2026 Accepting new patients
Bridges Medical Center CurrentSince Jan 1, 2026 Accepting new patients
First Care Medical Services CurrentSince Jan 1, 2026 Accepting new patients
Deer River Healthcare Center, Inc CurrentSince Jan 1, 2026 Accepting new patients
St Joseph's Medical Center CurrentSince Mar 13, 2014 Accepting new patients
St. Joseph's Medical Center Current Accepting new patients
St. Joseph's Medical Center CurrentSince Mar 13, 2014 Accepting new patients
Northern Pines Medical Center CurrentSince Jan 1, 2026 Accepting new patients
Graceville Health Center CurrentSince Jan 1, 2026 Accepting new patients
Brainerd Medical Center Inc CurrentSince Mar 13, 2014 Accepting new patients
Pine Medical Center CurrentSince Jan 1, 2026 Accepting new patients
The Duluth Clinic LTD Current Accepting new patients
Brainerd Medical Center Inc. CurrentSince Mar 13, 2014 Accepting new patients
Graceville Health Center CurrentSince Jan 1, 2026 Accepting new patients
The Duluth Clinic, LTD Past Accepting new patients
Duluth Graduate Medical Education Council Inc Past Accepting new patients

Locations

201 9th St W
Ada, MN 56510
Phone (218) 784-2727

5211 Highway 110
Aurora, MN 55705
Phone (218) 229-1010

13060 Isle Dr
Brainerd, MN 56425
Phone (218) 454-5920

1903 S 6th St
Brainerd, MN 56401
Phone (218) 828-1418

2024 S 6th St
Brainerd, MN 56401
Phone (218) 828-2880

523 N 3rd St
Brainerd, MN 56401
Phone (218) 828-7394

115 10th Ave NE
Deer River, MN 56636
Phone (218) 246-2900

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

400 E 3rd St
#2
Duluth, MN 55805
Phone (218) 786-8319

900 Hilligoss Blvd SE
Fosston, MN 56542
Phone (218) 435-1133

4572 County Road 61
Moose Lake, MN 55767
Phone (218) 485-4481

705 Lundorff Dr
Sandstone, MN 55072
Phone (320) 245-2211

1101 9th St N
Virginia, MN 55792
Phone (218) 305-0000

603 9th St N
Virginia, MN 55792
Phone (218) 741-3013

901 9th St N
Virginia, MN 55792
Phone (218) 741-3340

1702 University Dr S
Fargo, ND 58103
Phone (701) 364-4222

3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-4222

Organizations & group practices 29

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 29

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452211200000",
    "number": "1619945458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 N 3RD ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013054",
            "telephone_number": "218-829-2861",
            "fax_number": "218-828-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 N 3RD ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013054",
            "telephone_number": "218-829-2861",
            "fax_number": "218-828-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDALL",
        "first_name": "DIANNE",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2016-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MN",
            "license": "42419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brainerd, MN

Sources for this page

Verify at the official NPI Registry.