KIMBERLY DE PAULO – Nurse Practitioner, NPI 1417308701

KIMBERLY DE PAULO is a healthcare provider. based in Rochester, Minnesota. specializing in NURSE PRACTITIONER. They hold a License No. R204304 (MD). The NPI Number for KIMBERLY DE PAULO is 1417308701

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY DE PAULO
NPI
1417308701
Phone
(507) 284-2511
Address
200 1st St SW
Enumeration Date
28 June 2016
Last Update Date
5 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5073732384
Graduation Year
2016 (10 years ago)
PAC ID
6103107990
Group Practice PAC ID
4385556703
Professional Enrollment ID
I20170329001973
Address ID
MN560072437AL404XXSTXX400

Contacts

Secure Messaging
kdepaulo87353@ehrdirect.mayoclinicmsg.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:9State licenses:3Other namesUpdated within 12 months

5,720 NURSE PRACTITIONER in MN

Provider Addresses for KIMBERLY DE PAULO

  • 200 1st St SW

    Rochester, MN 559050001

    Phone: (507) 284-2511

    Type: Location

  • Northwest 26th Street, Owatonna, Steele County, Minnesota, 55060, United States

    OWATONNA, MN 550605503

    Phone: (507) 451-1120

    Type: Mailing

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: 2017-03-29

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
I20170329001973INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making5050$0
99285Emergency department visit with high level of medical decision making4241$0
View full utilization report →

Insurance plans in this area (ZIP 55905)

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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: 4385556703View full group profile

Reviews

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Frequently asked questions

Does KIMBERLY DE PAULO share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KIMBERLY DE PAULO uses 1417308701.
Does CMS list KIMBERLY DE PAULO as active?
Yes — KIMBERLY DE PAULO is active in the NPI listing used on this page.
What is KIMBERLY DE PAULO's primary classification?
Nurse Practitioner is the headline specialty for KIMBERLY DE PAULO here. Clinical services aligned with this taxonomy classification.
Where should I expect KIMBERLY DE PAULO on a map?
Expect Rochester, Minnesota as a primary anchor for KIMBERLY DE PAULO unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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