Individual provider Active NPI

Katie L Pehl, CNM

  • Advanced Practice Midwife
  • Minneapolis, MN
National Provider Identifier
1659691673
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
R184081-6 Issued in MN
Practice address
8170 33Rd Ave S - Ms 21110Q
Healthpartners Floating Clinic C/O Physicians Services
Minneapolis, MN 55440-1309
Phone
(952) 883-5375
Fax
(952) 883-5395
NPI assigned
Jun 2, 2010
Last updated
Dec 8, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X R184081-6 MN Primary

Addresses

Primary practice location

8170 33Rd Ave S - Ms 21110Q
Healthpartners Floating Clinic C/O Physicians Services
Minneapolis, MN 55440-1309

Mailing address

8170 33Rd Ave S
Ms21110Q
Minneapolis, MN 55425-4516
Phone (952) 883-5375

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100825000057 MN Practitioner - Certified Nurse Midwife (CNM) 3971627175 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.63 of 100Reported as group
Quality
75.41
Promoting interoperability
100
Improvement activities
40
Cost
75.75

Merit-based Incentive Payment System (MIPS)

Final score
92.68 of 100Reported as group
Quality
89.73
Promoting interoperability
100
Improvement activities
40
Cost
80.99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
R184081-6MNMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Fairview Express Care Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Fairview Clinics Current Accepting new patients
Healtheast Woodwinds Hospital CurrentSince Feb 1, 2020 Accepting new patients
Fairview Clinics CurrentSince Mar 18, 2020 Accepting new patients
Fairview Clinics CurrentSince Mar 18, 2020 Accepting new patients
Healtheast St. John's Hospital CurrentSince Feb 1, 2020 Accepting new patients
Healtheast Medical Research Institute CurrentSince Aug 1, 2010 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Fairview Health Services CurrentSince Dec 21, 2019 Accepting new patients
Healtheast Medical Research Institute CurrentSince Aug 1, 2010 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Fairview Express Care CurrentSince Nov 1, 2021 Accepting new patients
Fairview Express Care CurrentSince Nov 1, 2021 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Fairview Specialty Services CurrentSince Dec 21, 2019 Accepting new patients

Locations

6936 Pine Arbor Dr S
Ste 100
Cottage Grove, MN 55016
Phone (651) 326-5800

1215 Town Centre Dr
Eagan, MN 55123
Phone (651) 326-1515

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

14688 Everton Ave N
Ste 101
Hugo, MN 55038
Phone (651) 275-4706

400 Stinson Blvd
Fl 2
Minneapolis, MN 55413
Phone (612) 672-2203

606 24th Ave S
Ste 300
Minneapolis, MN 55454
Phone (612) 273-7111

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

1099 Helmo Ave N
Ste 100
Saint Paul, MN 55128
Phone (651) 326-5300

1390 University Ave W
Saint Paul, MN 55104
Phone (651) 232-4800

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

17 Exchange St W
Ste 835
Saint Paul, MN 55102
Phone (651) 232-4200

1983 Sloan Pl
Ste 1
Saint Paul, MN 55117
Phone (651) 326-5700

2680 Snelling Ave N
Ste 200
Saint Paul, MN 55113
Phone (651) 326-1600

2945 Hazelwood St
Ste 100
Saint Paul, MN 55109
Phone (651) 232-7800

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

870 Grand Ave
Saint Paul, MN 55105
Phone (651) 326-5650

980 Rice St
Saint Paul, MN 55117
Phone (651) 326-9020

2900 Curve Crest Blvd W
Stillwater, MN 55082
Phone (651) 471-5600

480 Highway 96 E
Vadnais Heights, MN 55127
Phone (651) 326-5900

1825 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

1875 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100

Interoperability endpoints

  • Direct secure messaging: kpehl468779@fairview.direct-ci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1659691673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 33RD AVE S",
            "address_2": "MS21110Q",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554254516",
            "telephone_number": "952-883-5375",
            "fax_number": "952-883-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8170 33RD AVE S - MS 21110Q",
            "address_2": "HEALTHPARTNERS FLOATING CLINIC C/O PHYSICIANS SERVICES",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554401309",
            "telephone_number": "952-883-5375",
            "fax_number": "952-883-5395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEHL",
        "first_name": "KATIE",
        "middle_name": "L",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-02",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MN",
            "license": "R184081-6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.