MS. KENDALL BIALLAS BAUMGARTNER (CPNP-AC) – Critical Care Pediatric Nurse Practitioner, NPI 1215230354

MS. KENDALL BIALLAS BAUMGARTNER (CPNP-AC) is a healthcare provider. based in Minneapolis, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials CPNP-AC. They hold a License No. 3872 (MN). The NPI Number for MS. KENDALL BIALLAS BAUMGARTNER (CPNP-AC) is 1215230354

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
MS. KENDALL BIALLAS BAUMGARTNER (CPNP-AC)
NPI
1215230354
Phone
(612) 813-3300
Address
2530 CHICAGO AVE STE 400
Enumeration Date
13 December 2010
Last Update Date
9 July 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6128133300
Graduation Year
2010 (16 years ago)
PAC ID
3375801814
Group Practice PAC ID
8022084235
Professional Enrollment ID
I20171211001800
Address ID
MN554044387MI2530XAVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:15State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for MS. KENDALL BIALLAS BAUMGARTNER (CPNP-AC)

  • 2530 CHICAGO AVE STE 400

    MINNEAPOLIS, MN 554044387

    Phone: (612) 813-3300

    Fax: (612) 813-3349

    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: 2017-12-11

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
I20171211001800INurse PractitionerMNTBD

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 55404)

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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: 8022084235View full group profile
NameSpecialtyState
Hospice/Palliative Care, Pediatric Medicine, Critical Care (Intensivists)MN
Pediatric MedicineMD
Critical Care (Intensivists), Pediatric MedicineMN
Critical Care (Intensivists), Pediatric MedicineMN
Critical Care (Intensivists), Pediatric MedicineIL
-MN
Pulmonary Disease, Pediatric MedicineMN
Pulmonary DiseaseMN
Critical Care (Intensivists)MN
Pediatric MedicineMI

Reviews

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Frequently asked questions

Is there an official ID for MS. KENDALL BIALLAS BAUMGARTNER (CPNP-AC) in U.S. healthcare records?
The official identifier for MS. KENDALL BIALLAS BAUMGARTNER (CPNP-AC) is NPI 1215230354.
Would MS. KENDALL BIALLAS BAUMGARTNER (CPNP-AC) appear as active to a payer?
You can treat MS. KENDALL BIALLAS BAUMGARTNER (CPNP-AC) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MS. KENDALL BIALLAS BAUMGARTNER (CPNP-AC)?
At a glance, MS. KENDALL BIALLAS BAUMGARTNER (CPNP-AC) is tied to Critical Care Pediatric Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with MS. KENDALL BIALLAS BAUMGARTNER (CPNP-AC)?
Directory geography for MS. KENDALL BIALLAS BAUMGARTNER (CPNP-AC) centers on Minneapolis, Minnesota.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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