Stephanie A Kivi, MD
Individual provider Active NPI Family Medicine Physician · Montgomery, MN
NPI 1992750806 · NPPES record last updated Jan 11, 2021
Key facts
- NPI
- 1992750806
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 38537 (MN)
- Practice address
- 202 1St St S
Montgomery Medical
Montgomery, MN 56069-1602 - Phone
- (507) 364-5600
- Fax
- (507) 364-5686
- NPI assigned
- May 23, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Minnesota Medical School, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mayo Clinic Health System-Southwest Minnesota Region
Mayo Clinic Health System-St James
Practice addresses (Care Compare)
1025 Marsh St
Mankato, MN 56001-4752
Phone (507) 625-4031
1101 Moulton and Parsons Dr
Saint James, MN 56081-5550
Phone (507) 375-3261
301 2ND St NE
New Prague, MN 56071-1709
Phone (952) 758-4431
501 State St N
Waseca, MN 56093-2811
Phone (507) 835-1210
Hospital & facility affiliations
- Adara Home Health Inc
- Mayo Clinic Health System New Prague
- Mayo Clinic Health System - Waseca
- Mayo Clinic Health System - Mankato
- North Memorial Health Hospital
- Mayo Clinic Health System - Waseca
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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070717000276 | MN | Practitioner - Family Practice | 1355441585 | Reassigns benefits to 10 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Health System-Southwest Minnesota Region | Current | Accepting new patients | |
| Mayo Clinic Health System-Southeast Minnesota Region | Current |
Accepting new patients | |
| Mayo Clinic Health System-Southwest Minnesota Region | Current |
Accepting new patients | |
| Mayo Clinic Health System-St James | Current | Accepting new patients | |
| Mayo Clinic Health System-Southwest Minnesota Region | Current | Accepting new patients | |
| Mayo Clinic Health System-Lake City | Current |
Accepting new patients | |
| Mayo Clinic Health System-Southwest Minnesota Region | Current | Accepting new patients | |
| Mayo Clinic Health System-Southeast Minnesota Region | Current |
Accepting new patients | |
| Mayo Clinic Health System-St James | Current |
Accepting new patients | |
| Mayo Clinic Health System-Southeast Minnesota Region | Current |
Accepting new patients | |
| Mayo Clinic Health System-Lake City | Current |
Accepting new patients |
Locations
1000 1st Dr NW
Austin, MN 55912
Phone (507) 433-7351
32021 County 24 Blvd
Cannon Falls, MN 55009
Phone (507) 263-6000
800 Medical Center Dr
Fairmont, MN 56031
Phone (507) 238-8100
500 W Grant St
Lake City, MN 55041
Phone (651) 345-3321
1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623
200 Alton Ave SE
New Prague, MN 56071
Phone (952) 758-3132
301 2nd St NE
New Prague, MN 56071
Phone (952) 758-4431
301 2nd St NE
Ste 1
New Prague, MN 56071
1101 Moulton and Parsons Dr
Saint James, MN 56081
Phone (507) 375-3261
501 State St N
Waseca, MN 56093
Phone (507) 835-1210
Interoperability endpoints
- skivi81857@ehrdirect.mayoclinicmsg.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 38537 | MN | Yes |
Addresses
Primary practice location
202 1St St S
Montgomery Medical
Montgomery, MN 56069-1602
Mailing address
301 2ND St NE
Suite 1
New Prague, MN 56071-1709
Phone (952) 758-4431
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160017600 | Medicaid | MN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | skivi81857@ehrdirect.mayoclinicmsg.org |
Other providers in Montgomery, MN
- Hunter Creek Dental, PA
- Inspire Services, LLC
- Kory Lee Isley
- Geoffrey Allen Iverson
- Nancy Marie Kaley
- Kramer Chiropracitic Wellness Center, LLC
- Kramer Chiropractic Wellness Center PLLC
- Kathryn Ryan Langdon
- Dannette Meeks-Hull
- Shane Nate Molitor
All providers in Montgomery, MN · Family Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2021. 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.