MRS. KIRBY MAE NELSON (ARNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1558747782
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,720 NURSE PRACTITIONER in MN
Provider Addresses for MRS. KIRBY MAE NELSON (ARNP)
11334 86TH AVE N
MAPLE GROVE, MN 553694528
Phone: (763) 255-2125
Fax: (763) 255-2126
Type: Location
1200 UNIVERSITY AVE STE 200
DES MOINES, IA 503142355
Phone: (515) 248-1447
Fax: (515) 248-1440
Type: Mailing
3509 E 29TH ST
DES MOINES, IA 503174253
Phone: (515) 248-1600
Fax: (515) 248-1610
Type: Location
3653 SE 34th Ave
Portland, OR 972023034
Phone: (503) 988-5140
Type: Location
3509 E 29th St
Des Moines, IA 503174253
Phone: (515) 248-1600
Fax: (515) 248-1610
Type: Location
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: 2021-08-11
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 |
|---|---|---|---|---|
| I20170912000999 | I | Nurse Practitioner | IA | TBD |
| I20210811002252 | I | Nurse Practitioner | MN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55369)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Marriage And Family Therapist | MN | |
| Clinical Social Worker | MN | |
| Nurse Practitioner | MN | |
| - | MN | |
| - | MN | |
| - | MN | |
| Clinical Psychologist | MN | |
| Certified Clinical Nurse Specialist (Cns) | MN | |
| Clinical Social Worker | SC | |
| Certified Clinical Nurse Specialist (Cns) | MN |
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