KIMBERLY A FITCH – Psychiatry Physician, NPI 1164407144

KIMBERLY A FITCH is a healthcare provider. based in St louis park, Minnesota. specializing in PSYCHIATRY. They hold a License No. 45425 (MN). The NPI Number for KIMBERLY A FITCH is 1164407144

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY A FITCH
NPI
1164407144
Phone
Not provided
Address
3800 PARK NICOLLET BLVD
Enumeration Date
13 December 2005
Last Update Date
1 March 2012

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
9529933123
Graduation Year
1999 (27 years ago)
PAC ID
4688701642
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20100422000671
Address ID
MN554162527ST3850XBLVD400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

746 PSYCHIATRY in MN

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Provider Addresses for KIMBERLY A FITCH

  • 3800, Park Nicollet Boulevard, Elmwood, Saint Louis Park, Hennepin County, Minnesota, 55416, United States

    CREDENTIALING

    ST LOUIS PARK, MN 554162527

    Phone:

    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: 2010-04-22

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
I20100422000671IPsychiatryMNTBD

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 minutes482171$0
99443Telephone medical discussion with physician, 21-30 minutes4618$0
99215Established patient office or other outpatient visit, 40-54 minutes4131$0
99442Telephone medical discussion with physician, 11-20 minutes3629$0
36415Insertion of needle into vein for collection of blood sample2621$0
View full utilization report →

Insurance plans in this area (ZIP 55416)

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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: 7911819438View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
-MN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMN
Cardiac ElectrophysiologyMN
Family PracticeMN
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physician AssistantMN
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

How do payers reference KIMBERLY A FITCH?
For KIMBERLY A FITCH, use NPI 1164407144 as the unique 10-digit identifier.
Is KIMBERLY A FITCH shown as active in public data?
Registry records indicate KIMBERLY A FITCH maintains an active NPI.
What kind of doctor is KIMBERLY A FITCH?
KIMBERLY A FITCH is associated with Psychiatry Physician in the directory — Clinical services aligned with this taxonomy classification.
Is KIMBERLY A FITCH located near St Louis Park?
KIMBERLY A FITCH currently maps to St Louis Park, Minnesota in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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