JENNIFER P KIPP (PA) – Physician Assistant, NPI 1124077813
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,031 PHYSICIAN ASSISTANT in MN
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Provider Addresses for JENNIFER P KIPP (PA)
861, Great Oaks Trail, Eagan, Dakota County, Minnesota, 55123, United States
EAGAN, MN 551232435
Phone: (651) 454-9251
Type: Mailing
Saint John's Hospital, 1575, Beam Avenue, Maplewood, Ramsey County, Minnesota, 55109, United States
MAPLEWOOD, MN 551091126
Phone: (651) 232-7348
Fax: (651) 232-6665
Type: Location
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.
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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: 2004-03-17
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 |
|---|---|---|---|---|
| I20040317000906 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99283 | Emergency department visit with low level of medical decision making | 24 | 24 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 21 | 21 | $0 |
Insurance plans in this area (ZIP 55123)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Emergency Medicine | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Physical Therapist In Private Practice | MN | |
| Occupational Therapist In Private Practice | MN | |
| Physical Therapist In Private Practice | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| - | WI | |
| Physical Therapist In Private Practice | MN | |
| Certified Registered Nurse Anesthetist (Crna) | CA |
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