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Individual provider Active NPI

Troy Patrick Kittleson, GNP

  • Gerontology Nurse Practitioner
  • Bloomington, MN
National Provider Identifier
1801865084
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
R1394980 Issued in MN
Practice address
3400 W 66TH St
#290
Bloomington, MN 55435-2111
Phone
(952) 836-3637
NPI assigned
Mar 17, 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
Gerontology Nurse Practitioner 363LG0600X R1394980 MN Primary

Addresses

Primary practice location

3400 W 66TH St
#290
Bloomington, MN 55435-2111

Mailing address

10725 Aquila Ave S
Bloomington, MN 55438-2226

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
I20050622000196 MN Practitioner - Nurse Practitioner 2567407489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview ClinicsGroup PAC ID 7113830142, 799 clinicians

Practice addresses (Care Compare)

13810 Community Dr
Burnsville, MN 55337-4593
Phone (952) 435-8116

1440 Duckwood Dr
Eagan, MN 55122-1451
Phone (651) 406-8860

14650 Garrett Ave
Apple Valley, MN 55124-7543
Phone (952) 431-7700

1700 University Ave W
Saint Paul, MN 55104-3727
Phone (952) 914-1732

Hospital & facility affiliations

  • Accentcare Fairview Home Health - West, LLC Home health agency, Saint Paul, MN, CCN 247078
  • Triniti Home Health and Hospice Home health agency, Elk River, MN, CCN 247263
  • Centerwell Home Health Home health agency, Brooklyn Park, MN, CCN 247145
  • Minnesota Hospice LLC Hospice, Lakeville, MN, CCN 241582
  • Brighton Hospice Hospice, Saint Louis Park, MN, CCN 241594
  • Grace Hospice Hospice, Minneapolis, MN, CCN 241595
  • M Health Fairview University of MN Medical Center Hospital, Minneapolis, MN, CCN 240080
  • M Health Fairview Ridges Hospital Hospital, Burnsville, MN, CCN 240207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Clinics Current Accepting new patients
Fairview Clinics CurrentSince Dec 18, 2002 Accepting new patients

Locations

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

3400 W 66th St
Edina, MN 55435
Phone (952) 836-3637

Interoperability endpoints

  • Direct secure messaging: tkittleson8939@fairview.direct-ci.com

Organizations & group practices 2

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 11

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

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1801865084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10725 AQUILA AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554382226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 W 66TH ST",
            "address_2": "#290",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554352111",
            "telephone_number": "952-836-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTLESON",
        "first_name": "TROY",
        "middle_name": "PATRICK",
        "credential": "GNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MN",
            "license": "R1394980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

Verify at the official NPI Registry.