NPIMap

Individual provider Active NPI

Kathleen E Steensma, FNP-C

  • Family Nurse Practitioner
  • Plymouth, MN
National Provider Identifier
1902206899
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6184-NP Issued in MN
Practice address
15700 37TH Ave N. #110
Plymouth, MN 55446
Phone
(763) 577-0008
Fax
(763) 577-0027
NPI assigned
Aug 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2014023981 MO
Family Nurse Practitioner 363LF0000X 6184-NP MN Primary

Addresses

Primary practice location

15700 37TH Ave N. #110
Plymouth, MN 55446

Mailing address

15700 37TH Ave N. #110
Plymouth, MN 55446
Phone (763) 577-0008

Other names 1

  • Kathleen E Christie Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190109000048 MN Practitioner - Nurse Practitioner 2860612272 Reassigns benefits to 1 organization
I20231121003062 WI Practitioner - Nurse Practitioner 2860612272

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Midwest Immunology Clinics PLLCGroup PAC ID 4486684438, 9 clinicians

Practice addresses (Care Compare)

15700 37TH Ave N
Suite 110
Plymouth, MN 55446-3399
Phone (763) 577-0008

Hospital & facility affiliations

  • Mercy Hospital Hospital, Coon Rapids, MN, CCN 240115
  • Abbott Northwestern Hospital Hospital, Minneapolis, MN, CCN 240057
  • M Health Fairview University of MN Medical Center Hospital, Minneapolis, MN, CCN 240080

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6184-NPMNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Immunology Clinics, PLLC CurrentSince Oct 10, 2018 Accepting new patients

Locations

15700 37th Ave N
Ste 110
Plymouth, MN 55446
Phone (763) 577-0008

15655 37th Ave N
Ste 260
Plymouth, MN 55446
Phone (763) 316-0750

15655 37th Ave N
Ste 250
Plymouth, MN 55446
Phone (763) 316-0750

652 Bielenberg Dr
Ste 101
Woodbury, MN 55125
Phone (651) 867-1618

Interoperability endpoints

  • Direct secure messaging: kathleen.steensma.p1@direct.micms.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

Hospital & facility affiliations 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1902206899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15700 37TH AVE N. #110",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "55446",
            "telephone_number": "763-577-0008",
            "fax_number": "763-577-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15700 37TH AVE N. #110",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "55446",
            "telephone_number": "763-577-0008",
            "fax_number": "763-577-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEENSMA",
        "first_name": "KATHLEEN",
        "middle_name": "E",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-27",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2014023981",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "6184-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "CHRISTIE",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plymouth, MN

Sources for this page

Verify at the official NPI Registry.