TROY PATRICK KITTLESON (GNP) – Gerontology Nurse Practitioner, NPI 1801865084

TROY PATRICK KITTLESON (GNP) is a healthcare provider. based in Bloomington, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials GNP. They hold a License No. R1394980 (MN). The NPI Number for TROY PATRICK KITTLESON (GNP) is 1801865084

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
TROY PATRICK KITTLESON (GNP)
NPI
1801865084
Phone
Not provided
Address
10725 AQUILA AVE S
Enumeration Date
17 March 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529141720
Graduation Year
2002 (24 years ago)
PAC ID
2567407489
Group Practice PAC ID
7113830142
Professional Enrollment ID
I20050622000196
Address ID
MN551043727SA1700XWXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for TROY PATRICK KITTLESON (GNP)

  • 10725, Aquila Avenue South, Bloomington, Hennepin County, Minnesota, 55438, United States

    BLOOMINGTON, MN 554382226

    Phone:

    Type: Mailing

  • 3400 W 66TH ST

    #290

    BLOOMINGTON, MN 554352111

    Phone: (952) 836-3637

    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: 2005-06-22

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
I20050622000196INurse 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
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes48884$0
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and1918$0
99344Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes1717$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 55438)

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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: 7113830142View full group profile

Reviews

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Frequently asked questions

What is the standard ID for TROY PATRICK KITTLESON (GNP) in the U.S.?
In the U.S., TROY PATRICK KITTLESON (GNP) is identified by NPI 1801865084.
Should I treat TROY PATRICK KITTLESON (GNP) as an active provider?
Patients and plans typically see TROY PATRICK KITTLESON (GNP) as active in the national extract.
What services align with TROY PATRICK KITTLESON (GNP)'s listing?
TROY PATRICK KITTLESON (GNP)'s public classification highlights Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to TROY PATRICK KITTLESON (GNP)?
TROY PATRICK KITTLESON (GNP) is associated with Bloomington, Minnesota in the same public data insurers reference.
Who maintains TROY PATRICK KITTLESON (GNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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