KAYLAN RAE DIX (CNP) – Family Nurse Practitioner, NPI 1669014445
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,720 NURSE PRACTITIONER in MN
Provider Addresses for KAYLAN RAE DIX (CNP)
14701 Victor Hugo Blvd N
Hugo, MN 550384561
Phone: (952) 853-8800
Type: Location
2831 Snelling Ave N
Roseville, MN 551131712
Phone: (651) 765-5900
Type: Location
2831, Snelling Avenue North, Roseville, Ramsey County, Minnesota, 55113, United States
ROSEVILLE, MN 551131712
Phone: (651) 765-5900
Type: Mailing
576, Apollo Drive, Lino Lakes, Anoka County, Minnesota, 55014, United States
LINO LAKES, MN 550143004
Phone: (651) 486-2320
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: 2019-11-07
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 |
|---|---|---|---|---|
| I20191107002561 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 85610 | Blood test, clotting time | 91 | 13 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 15 | 14 | $0 |
Insurance plans in this area (ZIP 55038)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Nurse Practitioner | AK | |
| Family Practice | MN | |
| Family Practice | MN | |
| Clinical Social Worker | MN | |
| Family Practice | MN | |
| Nurse Practitioner | MN | |
| Clinical Social Worker | MN | |
| Family Practice | GA | |
| Nurse Practitioner | IA |
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