KIMBERLY ANN WICK (APRN, CNP, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1760157366
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 KIMBERLY ANN WICK (APRN, CNP, PMHNP-BC)
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 551121789
Phone: (651) 628-9566
Fax: (651) 628-0411
Type: Mailing
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 554332638
Phone: (651) 379-1774
Type: Location
7727 111TH AVE N
CHAMPLIN, MN 553163205
Phone: (218) 428-2283
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.
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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: 2021-09-28
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 |
|---|---|---|---|---|
| I20210928000852 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 193 | 56 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 138 | 58 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 28 | 18 | $0 |
Insurance plans in this area (ZIP 55112)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Mental Health Counselor | MN | |
| Marriage And Family Therapist | MN | |
| Clinical Psychologist | MN | |
| Mental Health Counselor | MN | |
| Clinical Psychologist | MN | |
| Mental Health Counselor | MN | |
| Mental Health Counselor | MN | |
| Mental Health Counselor | MN | |
| - | MN |
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