KAITLYN BHOOPAL (APRN) – Family Nurse Practitioner, NPI 1104340736
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,720 NURSE PRACTITIONER in MN
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Provider Addresses for KAITLYN BHOOPAL (APRN)
424, North Hawthorne Road, Duluth, Saint Louis County, Minnesota, 55812, United States
DULUTH, MN 558121540
Phone:
Type: Mailing
1414, Woodland Avenue, Hunters Park, Duluth, Saint Louis County, Minnesota, 55803, United States
DULUTH, MN 558032624
Phone: (218) 302-1000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $200.
Total Amount is formed as General ($200) + Research ($0) + Ownership ($0) = $200.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($45).
Total Amount
$200
General + Research + Ownership
Payments
12
Total payment records
General Amount
$200
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $45 |
| Amgen Inc. | $37 |
| Lilly USA, LLC | $35 |
| REVANCE THERAPEUTICS, INC. | $27 |
| E.R. Squibb & Sons, L.L.C. | $15 |
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: 2017-08-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170825002789 | I | Nurse Practitioner | MN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 423 | 85 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 162 | 142 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 139 | 120 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 61 | 56 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 61 | 59 | $0 |
Insurance plans in this area (ZIP 55812)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN | |
| Micrographic Dermatologic Surgery (Mds) | MN | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN | |
| Physician Assistant | MN |
Reviews
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