Active NPI 1497277438 Individual Practitioner Female Practitioner

Katie Ann Eagle

Nurse Practitioner - Pediatrics • Eden Prairie, MN

Professional Overview & Biography Verified Profile Summary

Katie Ann Eagle is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Eden Prairie, MN. Practice services are available at 6452 CITY WEST PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6452 City West Pkwy

Eden Prairie, MN 553443245

Telephone 9529990333

Associated Practice Facility / Clinic

🏢 New Kingdom Pediatrics Llc Facility NPI 1760816045

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Eden Prairie, MN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 10.2 Yrs

Regional Practice Density

11 Specialists

Practicing in Eden Prairie, MN (480 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License MN 5206

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners

Kristofer Bristol , CNP

Nurse Practitioner - Family

NPI 1134855034

Certified Nurse Practitioner

Katie Seremet , NP

Nurse Practitioner

NPI 1144534140

Nurse Practitioner

Sydnee Katz , FNP-C

Nurse Practitioner - Family

NPI 1174411664

Family Nurse Practitioner (Certified)

Leah Seifert , SLP

Speech-Language Pathologist

NPI 1174675805

Speech-Language Pathologist

Shoshannah Carlson , CNP, FNP

Nurse Practitioner - Family

NPI 1205413994

Certified Nurse Practitioner, Family Nurse Practitioner

Bridget Pikkarainen , CNP

Nurse Practitioner - Family

NPI 1215504899

Certified Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 12, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location July 12, 2017

Registered at 6452 CITY WEST PKWY, EDEN PRAIRIE, MN 553443245 (Tel: (952) 999-0333)

📍

Updated Business Mailing Address July 12, 2017

Registered at 6452 CITY WEST PKWY, EDEN PRAIRIE, MN 553443245 (Tel: 9529990333)

👤

Provider Name / Credentials Updated July 12, 2017

Recorded as KATIE ANN EAGLE

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2017

Nurse Practitioner (License #5206 in MN)

🟢

Initial NPI Registration & Enumeration July 12, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497277438

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 12, 2017

Last Update: July 21, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6452 City West Pkwy

Eden Prairie, MN 553443245

Phone: 9529990333

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.