Kathryn Marvin, NP
Individual provider Active NPI Family Nurse Practitioner · Pine City, MN
NPI 1669837340 · NPPES record last updated Dec 22, 2015
Key facts
- NPI
- 1669837340
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- CNP 4314 (MN)
- Practice address
- 100 Evergreen SQ SW
Pine City, MN 55063-2000 - Phone
- (320) 629-6721
- NPI assigned
- Dec 22, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Fairview Clinics
Practice addresses (Care Compare)
600 W 98TH St
Bloomington, MN 55420-4773
Phone (952) 885-6150
Hospital & facility affiliations
- Accentcare Fairview Home Health - West, LLC
- Fairview Lakes Health Services
- Fairview Northland Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160205000704 | MN | Practitioner - Nurse Practitioner | 4981908316 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Express Care | 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 | |
| Fairview Clinics | Current |
Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Clinics | Current |
Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Express Care | Current |
Accepting new patients | |
| Fairview Health Services | Current |
Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Fairview Clinics | Past | Accepting new patients |
Locations
14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
600 W 98th St
Minneapolis, MN 55420
Phone (952) 881-2651
400 Stinson Blvd
Fl 2
Minneapolis, MN 55413
Phone (612) 672-2203
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
5366 386th St NE
North Branch, MN 55056
Phone (651) 674-6800
100 Evergreen Sq SW
Pine City, MN 55063
Phone (320) 629-3003
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
69 Exchange St W
Saint Paul, MN 55102
Phone (651) 232-1100
1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273
1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000
2945 Hazelwood St
Ste 100
Saint Paul, MN 55109
Phone (651) 232-7800
1875 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700
1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100
Interoperability endpoints
- kmarvin197677@fairview.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP 4314 | MN | Yes |
Addresses
Primary practice location
100 Evergreen SQ SW
Pine City, MN 55063-2000
Mailing address
100 Evergreen SQ SW
Pine City, MN 55063-2000
Phone (320) 629-6721
Other providers in Pine City, MN
- Deborah Diane Larson
- Lifts
- Debra Ann Lindau
- Katrina Carlene Lussier-Erickson
- Brenna Lyn Macdonald
- Josie Marie Mattheis-McGeehan
- Kari Michelle-Ferber Maynard
- Ashley McDonald
- Mary Alice Rose McHugh
- Melinda Margaret McKay
All providers in Pine City, MN · Family Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.