COURTNEY KIESOW NP
NPI 1750759502
Nurse Practitioner - Women's Health in Minneapolis, MN

NPI Status: Active since September 10, 2015

Contact Information

525 PORTLAND AVE
MINNEAPOLIS, MN
ZIP 55415
Phone: (612) 543-5555
Fax: (612) 596-7900

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  • Individual
  • Female
  • Years of Experience 12
  • Nurse Practitioner
  • Women's Health
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled
  • Medicare Quality Reporting

About COURTNEY KIESOW

This page provides the complete NPI Profile along with additional information for Courtney Kiesow, a provider established in Minneapolis, Minnesota with a medical specialization in Nurse Practitioner, focusing in women's health and more than 12 years of experience. The healthcare provider is registered in the NPI registry with number 1750759502 assigned on September 2015. The practitioner's primary taxonomy code is 363LW0102X with license number CNP4185 (MN). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1750759502
Provider Name
COURTNEY KIESOW NP
Gender
Female
Entity Type
Individual
Location Address
525 PORTLAND AVE MINNEAPOLIS, MN 55415
Location Phone
(612) 543-5555
Location Fax
(612) 596-7900
Mailing Address
525 PORTLAND AVE MINNEAPOLIS, MN 55415
Mailing Phone
(612) 596-7005
Mailing Fax
(612) 596-7900
Medical School Name
OTHER
Graduation Year
2014
Is Sole Proprietor?
No
Enumeration Date
09-10-2015
Last Update Date
10-22-2024
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A nurse practitioner (NP) like Courtney Kiesow is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Women's Health

Taxonomy Code
363LW0102X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
CNP4185
License State
MN

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LA2200XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Adult Health

CNP4185 (MN)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze HSA - EPO
  • Medica Individual Choice Bronze Share - EPO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - EPO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - EPO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - EPO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - EPO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - EPO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - EPO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - EPO
  • Medica Individual Choice Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Courtney Kiesow is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Courtney Kiesow is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9830499714

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20151125000576

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $21.45 for a new patient copayment and $24.65 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 55415 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $85.82
  • Minimum New Patient Price $56
  • Maximum New Patient Price $168.28
  • Average New Patient Copayment $21.45
  • Minimum New Patient Copayment $14
  • Maximum New Patient Copayment $42.07

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $98.61
  • Minimum Established Patient Price $18.32
  • Maximum Established Patient Price $138.04
  • Average Established Patient Copayment $24.65
  • Minimum Established Patient Copayment $4.58
  • Maximum Established Patient Copayment $34.51

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Cervical Cancer Screening 68% 62
Diabetes: Eye Exam 18% 22
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 36% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
22
Diabetes: Medical Attention for Nephropathy 55% 22
Documentation of Current Medications in the Medical Record 96% 153
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 14% 84
Preventive Care and Screening: Influenza Immunization 2% 56
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 0% 58
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 0% 58

Reviews for COURTNEY KIESOW NP

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750759502
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001451850
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 4 + 5 + 1 + 8 + 5 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1750759502 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1619954732 MEAGHAN MORTON
Individual
Registered Nurse525 PORTLAND AVE
MINNEAPOLIS, MN 55415
(612) 873-5832
1851314470 KATHLEEN MCDONOUGH
Individual
Nurse Practitioner (Women's Health)525 PORTLAND AVE MC: 952
MINNEAPOLIS, MN 55415
(612) 348-3033
1972519023 CYNTHIA NELSON
Individual
Nurse Practitioner (Family)525 PORTLAND AVE MC: 952
MINNEAPOLIS, MN 55415
(612) 348-3033
1972511145 ELIZABETH LANE-GETAZ
Individual
Nurse Practitioner (Women's Health)525 PORTLAND AVE MC: 652
MINNEAPOLIS, MN 55415
(612) 348-3033
1295812386HENNEPIN COUNTY
Organization
Public Health or Welfare525 PORTLAND AVE LEVEL #4 MC952
MINNEAPOLIS, MN 55415
(612) 348-9840
1972621506 HYUN JOO OH PH.D., M.S.W.
Individual
Social Worker (Clinical)525 PORTLAND AVE FIFTH FLOOR
MINNEAPOLIS, MN 55415
(612) 250-9755
1720355050MS. FRANCES LOUISE SANDERS MSW LGSW
Individual
Social Worker525 PORTLAND AVE MC 965
MINNEAPOLIS, MN 55415
(612) 348-0244
1972871127 LORETT LYNN HUFFMAN LICSW
Individual
Social Worker (Clinical)525 PORTLAND AVE MAIL CODE 965
MINNEAPOLIS, MN 55415
(612) 348-3857
1922376169 DONNA JEAN NELSON LSW
Individual
Social Worker525 PORTLAND AVE
MINNEAPOLIS, MN 55415
(612) 543-0593
1942578091MR. JOHN HENRY HERBERT JR. SOCIAL WORKER
Individual
Social Worker525 PORTLAND AVE 965
MINNEAPOLIS, MN 55415
(612) 543-5235
1831467927 LISA SAFFOLD
Individual
Social Worker525 PORTLAND AVE HSPHD - HEALTH SERVICES BUILDING
MINNEAPOLIS, MN 55415
(612) 296-7302
1881963064MS. SUSAN FRAME LICSW
Individual
Social Worker (Clinical)525 PORTLAND AVE
MINNEAPOLIS, MN 55415
(612) 348-0293
1477814002MS. ROXANNE STACEY PEYTON MSW
Individual
Behavior Analyst525 PORTLAND AVE 500
MINNEAPOLIS, MN 55415
(612) 836-1044
1538422522 JUDITH EMERSON LICSW
Individual
Social Worker (Clinical)525 PORTLAND AVE HSPHD, M965
MINNEAPOLIS, MN 55415
(612) 348-3000
1699039305MRS. LUEVERIA M HUERTA
Individual
Social Worker525 PORTLAND AVE
MINNEAPOLIS, MN 55415
(612) 348-7379
1053550251 LAURIE A MOSER MA
Individual
Marriage & Family Therapist525 PORTLAND AVE
MINNEAPOLIS, MN 55415
(612) 596-7071
1104170810COMMUNITY OUTREACH FOR PSYCHIATRIC EMERGENCIES
Organization
Community/Behavioral Health525 PORTLAND AVE
MINNEAPOLIS, MN 55415
(612) 596-1223
1295070415 MARTHA E DILLE M.S. L.P.
Individual
Psychologist525 PORTLAND AVE
MINNEAPOLIS, MN 55415
(612) 964-1778
1588909758 ANNE MARIE WILLIAMS-WENGERD M.A.
Individual
Psychologist (Counseling)525 PORTLAND AVE MC 965
MINNEAPOLIS, MN 55415
(612) 685-7084
1891716528 NANCY LIDDY
Individual
Nurse Practitioner (Adult Health)525 PORTLAND AVE MC: 952
MINNEAPOLIS, MN 55415
(612) 348-9840

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750759502, enumerated in the NPI registry as an "individual" on September 10, 2015

The provider is located at 525 Portland Ave Minneapolis, Mn 55415 and the phone number is (612) 543-5555

The provider's speciality is Nurse Practitioner with taxonomy code 363LW0102X with a focus in Women's Health

The provider has more than 12 years of experience.

The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider obtained a high score in the following performance measures: Documentation of Current Medications in the Medical Record. The quality ratings are based on unbiased reviews and reported submissions to Medicare's Quality Payment Program.

Medicare beneficiaries should expect a typical cost of $85.82 with an average copayment of $21.45 for new patient appointments. Established patients should expect a typical charge of $98.61 and an average copayment of 24.65. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on September 10, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.