KATHLEEN T PFAFF (CNM) – Advanced Practice Midwife, NPI 1770549404

KATHLEEN T PFAFF (CNM) is a healthcare provider. based in Brooklyn park, Minnesota. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials CNM. They hold a License No. 1680212 (MN). The NPI Number for KATHLEEN T PFAFF (CNM) is 1770549404

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN T PFAFF (CNM)
NPI
1770549404
Phone
(612) 873-6963
Address
7650 ZANE AVE N
Enumeration Date
21 April 2006
Last Update Date
12 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6128736963
Graduation Year
1996 (30 years ago)
PAC ID
4082628367
Group Practice PAC ID
4789684861
Professional Enrollment ID
I20060126000439
Address ID
MN554151623MI701XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Digital endpointsOther names

251 CERTIFIED NURSE MIDWIFE (CNM) in MN

Provider Addresses for KATHLEEN T PFAFF (CNM)

  • 7650 ZANE AVE N

    BROOKLYN PARK, MN 554433151

    Phone: (612) 873-6963

    Type: Location

  • Park Av, 701, Park Avenue South, Minneapolis, Hennepin County, Minnesota, 55415, United States

    MINNEAPOLIS, MN 554151623

    Phone: (612) 873-3000

    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: 2006-01-26

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
I20060126000439ICertified Nurse Midwife (Cnm)MNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55443)

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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: 4789684861View full group profile

Reviews

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Frequently asked questions

What is the standard ID for KATHLEEN T PFAFF (CNM) in the U.S.?
In the U.S., KATHLEEN T PFAFF (CNM) is identified by NPI 1770549404.
Should I treat KATHLEEN T PFAFF (CNM) as an active provider?
Patients and plans typically see KATHLEEN T PFAFF (CNM) as active in the national extract.
How should patients interpret KATHLEEN T PFAFF (CNM)'s specialty?
The extract shows Advanced Practice Midwife for KATHLEEN T PFAFF (CNM). Clinical services aligned with this taxonomy classification.
Can patients visit KATHLEEN T PFAFF (CNM) in Brooklyn Park, Minnesota?
For routing, start with Brooklyn Park, Minnesota for KATHLEEN T PFAFF (CNM), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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