KIMBERLY ANN PLESSEL (MS, RD, LD) – Registered Dietitian, NPI 1124377825

KIMBERLY ANN PLESSEL (MS, RD, LD) is a healthcare provider. based in Crystal, Minnesota. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials MS, RD, LD. They hold a License No. 2423 (MN). The NPI Number for KIMBERLY ANN PLESSEL (MS, RD, LD) is 1124377825

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY ANN PLESSEL (MS, RD, LD)
NPI
1124377825
Phone
(651) 335-6552
Address
5700 BOTTINEAU BLVD
Enumeration Date
10 September 2012
Last Update Date
24 July 2013

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
7635877000
Graduation Year
2002 (24 years ago)
PAC ID
3476789066
Group Practice PAC ID
1355396110
Professional Enrollment ID
I20131204002187
Address ID
MN553694480MA9825XDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

277 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in MN

Provider Addresses for KIMBERLY ANN PLESSEL (MS, RD, LD)

  • 5700 BOTTINEAU BLVD

    SUITE 210

    CRYSTAL, MN 554293183

    Phone: (651) 335-6552

    Mailing address matches the actual address.

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: 2013-12-04

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
I20131204002187IRegistered Dietitian Or Nutrition ProfessionalMNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55429)

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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: 1355396110View full group profile
NameSpecialtyState
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
O B S T E T R I C S/ G Y N E C O L O G YMN
-MN
O B S T E T R I C S/ G Y N E C O L O G YMN
Physician AssistantMN
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeNY
O B S T E T R I C S/ G Y N E C O L O G YMN
Physician AssistantMN

Reviews

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Frequently asked questions

Does KIMBERLY ANN PLESSEL (MS, RD, LD) have a public NPI I can cite?
Public records show KIMBERLY ANN PLESSEL (MS, RD, LD) under NPI 1124377825.
Is KIMBERLY ANN PLESSEL (MS, RD, LD)'s NPI status active today?
Active status means KIMBERLY ANN PLESSEL (MS, RD, LD)'s NPI record is not deactivated in the public file.
What type of care does KIMBERLY ANN PLESSEL (MS, RD, LD) provide?
KIMBERLY ANN PLESSEL (MS, RD, LD)'s profile centers on Registered Dietitian. Clinical services aligned with this taxonomy classification.
Which community is linked to KIMBERLY ANN PLESSEL (MS, RD, LD)?
KIMBERLY ANN PLESSEL (MS, RD, LD) shows a connection to Crystal, Minnesota in registry-derived data.
Can I export KIMBERLY ANN PLESSEL (MS, RD, LD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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