KATHLEEN E. PENGELLY CNP – NPI #1760956668
Registered Nurse

KATHLEEN PENGELLY is a registered nurse (RN) located in SAINT PAUL, MN. NPPES has assigned the NPI number 1760956668 to KATHLEEN PENGELLY on January 15, 2019. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 163WP0809X from the Health Care Provider Taxonomy code set, which is classified as Registered Nurse, specializing in Psychiatric/Mental Health, Adult

The NPI profile was previously updated about 7 years ago on Aug 15, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KATHLEEN PENGELLY below.

NPI Profile for
KATHLEEN E. PENGELLY

NPI Number
1760956668
Enumeration Date

(more than 7 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KATHLEEN E. PENGELLY
Credentials
CNP
Primary location
762 TRANSFER RD STE 21
SAINT PAUL, MN 55114-1489
Phone: (651) 659-2900 Fax: (651) 645-7307
2 Other location(s):
15420 Founders Ln
Apple Valley, MN 55124-6076
Phone: (651) 659-2900
Fax: (952) 431-5842
501 Highway 13 E Ste 116
Burnsville, MN 55337-2877
Phone: (651) 681-9366
Fax: (651) 681-9317
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
163WP0809X
- Registered Nurse / Psychiatric/Mental Health, Adult (Primary)		 MN 138239-0
363LP0808X
- Nurse Practitioner / Psychiatric/Mental Health		 MN 6667

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.