Individual provider Active NPI

Patrick Kemper, M.D.

  • Family Medicine Physician
  • Blaine, MN
National Provider Identifier
1679514517
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
42667 Issued in MN
Practice address
10190 Baltimore St NE
Blaine, MN 55449-5056
Phone
(763) 795-9363
Fax
(763) 795-9364
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 42667 MN Primary

Addresses

Primary practice location

10190 Baltimore St NE
Blaine, MN 55449-5056

Mailing address

5340 Drew Ave S
Minneapolis, MN 55410-2006
Phone (612) 929-2512

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
I20031126000441 MN Practitioner - Family Practice 5799689188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota Medical School, 1999
Medicare assignment
May accept Medicare assignment
Group practices
American Current Care of Minnesota PCGroup PAC ID 2163766973, 4 clinicians

Practice addresses (Care Compare)

2520 Pilot Knob Rd
Suite 250
Mendota Heights, MN 55120-1347
Phone (651) 224-8264

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42667MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of Minnesota PC CurrentSince Oct 29, 2018 Accepting new patients

Locations

10190 Baltimore St NE
Ste 100
Blaine, MN 55449
Phone (763) 780-8264

2520 Pilot Knob Rd
Ste 250
Saint Paul, MN 55120
Phone (651) 224-8264

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1679514517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 DREW AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554102006",
            "telephone_number": "612-929-2512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10190 BALTIMORE ST NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554495056",
            "telephone_number": "763-795-9363",
            "fax_number": "763-795-9364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPER",
        "first_name": "PATRICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "42667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blaine, MN

Sources for this page

Verify at the official NPI Registry.