KIMBERLY M WOLF (PHD, PMHCNS-BC APRN) – Adult Psychiatric/Mental Health Clinical Nurse Specialist, NPI 1285725291
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
104 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in MN
Provider Addresses for KIMBERLY M WOLF (PHD, PMHCNS-BC APRN)
3100 W Lake St Ste 210
Minneapolis, MN 554164597
Phone: (612) 925-6033
Fax: (612) 217-0662
Type: Location
Park Av, 701, Park Avenue South, Minneapolis, Hennepin County, Minnesota, 55415, United States
MINNEAPOLIS, MN 554151623
Phone: (612) 873-2291
Fax: (612) 904-4477
Type: Mailing
Park Avenue South, Central, Powderhorn, Minneapolis, Hennepin County, Minnesota, 55407, United States
MINNEAPOLIS, MN 554151623
Phone: (612) 873-2291
Fax: (612) 904-4477
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $102.
Total Amount is formed as General ($102) + Research ($0) + Ownership ($0) = $102.
Last reported payment date: 2023-03-09 • Largest payer in this snapshot: ABBVIE INC. ($102).
Total Amount
$102
General + Research + Ownership
Payments
1
Total payment records
General Amount
$102
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $102 |
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: 2020-04-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20090626000360 | I | Certified Clinical Nurse Specialist (Cns) | MN | TBD |
| I20200408000236 | I | Certified Clinical Nurse Specialist (Cns) | WI | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 208 | 79 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 132 | 74 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 55416)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| - | MN | |
| Clinical Social Worker | MN | |
| Clinical Social Worker | WI | |
| - | MN | |
| - | MN | |
| - | MN | |
| Clinical Psychologist | MN | |
| Clinical Social Worker | MN | |
| - | MN |
Reviews
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