MAMMARIE KAH – Nurse Practitioner, NPI 1588019228

MAMMARIE KAH is a healthcare provider. based in Saint cloud, Minnesota. specializing in NURSE PRACTITIONER. They hold a License No. 4497 (MN). The NPI Number for MAMMARIE KAH is 1588019228

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MAMMARIE KAH
NPI
1588019228
Phone
(320) 251-2700
Address
1406 6TH AVE N
Enumeration Date
2 May 2016
Last Update Date
27 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3202525131
Graduation Year
2015 (11 years ago)
PAC ID
3274823562
Group Practice PAC ID
2466363395
Professional Enrollment ID
I20160526002514
Address ID
MN563032735SA1200XNXXX401

Contacts

Secure Messaging
mkah295963@direct.centracare.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

5,720 NURSE PRACTITIONER in MN

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Provider Addresses for MAMMARIE KAH

  • Saint Cloud Hospital, 1406, 6th Avenue North, St. Cloud, Stearns County, Minnesota, 56303, United States

    SAINT CLOUD, MN 563031900

    Phone: (320) 251-2700

    Type: Location

  • 1200, 6th Avenue North, St. Cloud, Stearns County, Minnesota, 56303, United States

    ST. CLOUD, MN 56303

    Phone: (320) 240-2206

    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: 2016-05-26

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
I20160526002514INurse 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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3321$0
90935Hemodialysis procedure with physician evaluation1917$0
90962Dialysis services, 1 physician visit per month (20 years or older)1916$0
99215Established patient office or other outpatient visit, 40-54 minutes1614$0
90961Dialysis services, 2-3 physician visits per month (20 years or older)1514$0
View full utilization report →

Insurance plans in this area (ZIP 56303)

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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: 2466363395View full group profile

Reviews

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Frequently asked questions

What is the standard ID for MAMMARIE KAH in the U.S.?
In the U.S., MAMMARIE KAH is identified by NPI 1588019228.
Should I treat MAMMARIE KAH as an active provider?
Patients and plans typically see MAMMARIE KAH as active in the national extract.
What services align with MAMMARIE KAH's listing?
MAMMARIE KAH's public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to MAMMARIE KAH?
The directory associates MAMMARIE KAH with Saint Cloud, Minnesota. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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