MS. KRISTIN L KIPKA (DO) – Family Medicine Physician, NPI 1063779973

MS. KRISTIN L KIPKA (DO) is a healthcare provider. based in Osseo, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 56774 (MN). The NPI Number for MS. KRISTIN L KIPKA (DO) is 1063779973

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MS. KRISTIN L KIPKA (DO)
NPI
1063779973
Phone
(763) 587-7900
Address
50 CENTRAL AVE
Enumeration Date
16 April 2012
Last Update Date
7 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7635877900
Graduation Year
2012 (14 years ago)
PAC ID
9133360779
Group Practice PAC ID
2769384205
Professional Enrollment ID
I20130724000908
Address ID
MN553691241OS50XXXAVEX300

Contacts

Secure Messaging
kristin.kipka@nor.eclinicaldirectplus.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:14State licenses:1Other namesUpdated within 12 months

3,076 FAMILY PRACTICE in MN

Provider Addresses for MS. KRISTIN L KIPKA (DO)

  • 50 CENTRAL AVE

    OSSEO, MN 553691241

    Phone: (763) 587-7900

    Type: Mailing

  • 9201 W BROADWAY AVE STE 601

    BROOKLYN PARK, MN 554451924

    Phone: (763) 587-7900

    Fax: (763) 587-7066

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2013-07-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-07-31 (1045 days ago).

Enrollment records

1

Earliest due date

2023-07-31

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
I20130724000908IFamily PracticeMN2023-07-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
36415Insertion of needle into vein for collection of blood sample207113$0
99214Established patient office or other outpatient visit, 30-39 minutes16494$0
80048Blood test, basic group of blood chemicals (calcium, total)159101$0
99213Established patient office or other outpatient visit, 20-29 minutes12087$0
80061Blood test, lipids (cholesterol and triglycerides)6159$0
View full utilization report →

Insurance plans in this area (ZIP 55369)

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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: 2769384205View full group profile
NameSpecialtyState
-MN
Colorectal Surgery (Proctology)MN
O B S T E T R I C S/ G Y N E C O L O G YMN
Internal Medicine, RheumatologyMN
Nurse PractitionerMN
Family PracticeMN
O B S T E T R I C S/ G Y N E C O L O G YMN
Colorectal Surgery (Proctology)MN
Internal Medicine, GastroenterologyMN
O B S T E T R I C S/ G Y N E C O L O G YMN

Reviews

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Frequently asked questions

What is the 10-digit NPI for MS. KRISTIN L KIPKA (DO)?
MS. KRISTIN L KIPKA (DO) — NPI 1063779973 — is the standard way to identify this listing.
Can I rely on MS. KRISTIN L KIPKA (DO) being an active provider?
As of the registry snapshot, MS. KRISTIN L KIPKA (DO) is marked active.
What healthcare role does MS. KRISTIN L KIPKA (DO) hold?
Scheduling teams often label MS. KRISTIN L KIPKA (DO) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does MS. KRISTIN L KIPKA (DO) list a practice location?
Patients near Osseo, Minnesota may find MS. KRISTIN L KIPKA (DO) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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