KATHRYN JO CHAMBERLAIN (MD) – Family Medicine Physician, NPI 1033606710

KATHRYN JO CHAMBERLAIN (MD) is a healthcare provider. based in Pine island, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 65978 (MN). The NPI Number for KATHRYN JO CHAMBERLAIN (MD) is 1033606710

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
KATHRYN JO CHAMBERLAIN (MD)
NPI
1033606710
Phone
(507) 356-4929
Address
111 COUNTY ROAD 11 NW
Enumeration Date
18 April 2018
Last Update Date
9 August 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
5072883443
Graduation Year
2018 (8 years ago)
PAC ID
9739412230
Group Practice PAC ID
8527970060
Professional Enrollment ID
I20210809003773
Address ID
MN559046425RO210XXSEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

3,075 FAMILY PRACTICE in MN

Provider Addresses for KATHRYN JO CHAMBERLAIN (MD)

  • 111 COUNTY ROAD 11 NW

    PINE ISLAND, MN 559639756

    Phone: (507) 356-4929

    Type: Mailing

  • 6600 EXCELSIOR BLVD STE 160

    ST LOUIS PARK, MN 554264713

    Phone: (952) 993-7705

    Type: Mailing

  • 210 9TH ST SE

    ROCHESTER, MN 559046756

    Phone: (507) 288-3443

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-05-13 • Largest payer in this snapshot: Dexcom, Inc. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Dexcom, Inc.$18
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-08-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210809003773IFamily PracticeMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes3731$0
99215Established patient office or other outpatient visit, 40-54 minutes2419$0
99213Established patient office or other outpatient visit, 20-29 minutes2220$0
View full utilization report →

Insurance plans in this area (ZIP 55963)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8527970060View full group profile
NameSpecialtyState
Emergency MedicineMN
Nurse PractitionerMN
Family PracticeMN
Family PracticeMN
O B S T E T R I C S/ G Y N E C O L O G YMN
O B S T E T R I C S/ G Y N E C O L O G YMN
Certified Registered Nurse Anesthetist (Crna)MN
P A T H O L O G YMN
Physical Therapist In Private PracticeMN
D E R M A T O L O G YTN

Reviews

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Frequently asked questions

What is the registry number for KATHRYN JO CHAMBERLAIN (MD)?
The registry entry for KATHRYN JO CHAMBERLAIN (MD) shows NPI 1033606710.
Should I treat KATHRYN JO CHAMBERLAIN (MD) as an active provider?
Patients and plans typically see KATHRYN JO CHAMBERLAIN (MD) as active in the national extract.
Which specialty label fits KATHRYN JO CHAMBERLAIN (MD)?
NPPES ties KATHRYN JO CHAMBERLAIN (MD) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is KATHRYN JO CHAMBERLAIN (MD) tied to Pine Island, Minnesota?
If you are local to Pine Island, Minnesota, KATHRYN JO CHAMBERLAIN (MD) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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