BETHANY LOU FIEBELKORN KENNEDY (PH.D.) – Psychologist, NPI 1598917692
Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,110 CLINICAL PSYCHOLOGIST in MN
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Provider Addresses for BETHANY LOU FIEBELKORN KENNEDY (PH.D.)
7650, Zane Avenue North, Brooklyn Park, Hennepin County, Minnesota, 55443, United States
BROOKLYN PARK, MN 554433151
Phone: (612) 873-6963
Type: Mailing
PO BOX 14909
MINNEAPOLIS, MN 554140909
Phone: (612) 871-1145
Type: Mailing
9145 SPRINGBROOK DR NW
COON RAPIDS, MN 554335885
Phone: (612) 871-1145
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: 2016-07-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160718000163 | I | Clinical Psychologist | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 96158 | Treatment of behavior impacting health, initial 30 minutes | 139 | 34 | $0 |
| 96159 | Treatment of behavior impacting health, each additional 15 minutes | 129 | 30 | $0 |
| 96156 | Assessment of health behavior | 36 | 35 | $0 |
Insurance plans in this area (ZIP 55443)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| - | MN | |
| G A S T R O E N T E R O L O G Y | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| G A S T R O E N T E R O L O G Y | IL | |
| G A S T R O E N T E R O L O G Y | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| G A S T R O E N T E R O L O G Y | MN | |
| Pediatric Medicine, Gastroenterology | MN |
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