Sean M Kipp, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

1313-25 Issued in WI

Practice address

216 S Adams St
Saint Croix Falls, WI 54024-9449

Phone

(715) 483-0241

NPI assigned

Jun 10, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN, WI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

R Franklin University of Med & Sci/Chicago Medical School, 2020

Medicare assignment

May accept Medicare assignment

Group practices

St. Croix Regional Medical CenterGroup PAC ID 9335032184, 131 clinicians

Tareen Dermatology PAGroup PAC ID 8123288156, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Good Samaritan Society - Home Care Home health agency, St Croix Falls, WI, CCN 527309
• St Croix Regional Medical Center Hospital, Saint Croix Falls, WI, CCN 521337

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: skipp630494@excellian.direct.allina.com

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.

• St. Croix Regional Medical Center

  • Critical Access Hospital
  • Saint Croix Falls, WI
  • NPI 1043240922

  MN

  Medicare reassignment Care Compare group NPD
• Tareen Dermatology, P.a.

  • Dermatology Physician
  • Roseville, MN
  • NPI 1063782621

  WI

  Medicare reassignment Care Compare group NPD
• St. Croix Regional Medical Center

  • Rural Health Clinic/Center
  • Balsam Lake, WI
  • NPI 1013423219
  NPD
• St. Croix Regional Medical Center

  • Rural Health Clinic/Center
  • Saint Croix Falls, WI
  • NPI 1669988861
  NPD (past)
• St. Croix Regional Medical Center

  • Rural Health Clinic/Center
  • Frederic, WI
  • NPI 1811256126
  NPD (past)
• St. Croix Regional Medical Center

  • Rural Health Clinic/Center
  • Webster, WI
  • NPI 1851652374
  NPD (past)

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

• St. Croix Regional Medical Center

  • Critical Access Hospital
  • Saint Croix Falls, WI
  • NPI 1043240922
  Care Compare affiliation
• The Evangelical Lutheran Good Samaritan Society

  • Home Health Agency
  • Saint Croix Falls, WI
  • NPI 1568627156
  Care Compare affiliation

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1871118430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 E STATE ST",
            "city": "SAINT CROIX FALLS",
            "state": "WI",
            "postal_code": "540244117",
            "telephone_number": "715-483-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 S ADAMS ST",
            "city": "SAINT CROIX FALLS",
            "state": "WI",
            "postal_code": "540249449",
            "telephone_number": "715-483-0241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1504 190th Ave",
            "address_purpose": "LOCATION",
            "city": "Balsam Lake",
            "state": "WI",
            "postal_code": "548107102",
            "country_code": "US",
            "telephone_number": "715-825-3278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 Oak St W",
            "address_purpose": "LOCATION",
            "city": "Frederic",
            "state": "WI",
            "postal_code": "548378953",
            "country_code": "US",
            "telephone_number": "715-327-5700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12375 Lindstrom Ln",
            "address_purpose": "LOCATION",
            "city": "Lindstrom",
            "state": "MN",
            "postal_code": "550459551",
            "country_code": "US",
            "telephone_number": "651-400-2240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26425 Lakeland Ave S",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "WI",
            "postal_code": "548938343",
            "country_code": "US",
            "telephone_number": "715-866-4271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIPP",
        "first_name": "SEAN",
        "middle_name": "M",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-10",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WI",
            "license": "1313-25",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MN",
            "license": "1161",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Ann Johnson, D.C.
• Franklin G Johnson, PT
• Tara Leigh Johnson, NP
• John Paul Kampa, MD
• Muhammad Talha Khan, M.D.
• Rebecca Kornowski, PA-C
• Tarah Kranz, PHARMD
• Christine T Krarup, ABOC, NCLEC
• James R Kravig, M.D.
• Laura L Krueger, MD

• Foot & Ankle Surgery Podiatrist in Saint Croix Falls, WI
• Providers in Saint Croix Falls, WI by specialty
• Foot & Ankle Surgery Podiatrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.