Active NPI 1659664852 Individual Practitioner Female Practitioner

Kimberly Dawn Pettinelli , NP

Nurse Practitioner • Hibbing, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kimberly Pettinelli, NP is a certified Nurse Practitioner practicing in Hibbing, MN. With approximately 15 years of clinical experience since completing medical education in 2011, Kimberly Pettinelli delivers high-quality medical care to the local community at 3605 MAYFAIR AVE.

Kimberly Pettinelli is affiliated with Range Regional Health Services and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3605 Mayfair Ave

Hibbing, MN 557462935

Telephone 2182623441

Fax 2183626908

Associated Practice Facility / Clinic

🏢 John L Bonner Eye Clinic Ltd Facility NPI 1770626616

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Hibbing, MN

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs +1.7 yrs vs City Avg

City Avg: 13.3 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

6 Specialists

Practicing in Hibbing, MN (2609 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pettinelli (15 Years) 15 Yrs

Hibbing Specialty Average (13.3 Years) 13.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	40	22	$243.88	$53.10
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	25	16	$52.00	$13.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	41	26	$228.71	$54.64
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	16	$574.75	$118.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	15	$376.81	$80.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	54	27	$529.89	$122.03
99213 Established patient office or other outpatient visit, typically 15 minutes	41	28	$213.56	$55.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	21	$363.00	$82.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	72	33	$453.90	$121.57
99213 Established patient office or other outpatient visit, typically 15 minutes	50	35	$172.30	$56.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	28	$307.90	$83.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	78	41	$160.31	$43.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	38	$291.69	$67.06
99442 Telephone medical discussion with physician, 11-20 minutes	11	11	$103.00	$64.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	150	66	$278.00	$65.99
99213 Established patient office or other outpatient visit, typically 15 minutes	64	42	$150.00	$42.71
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	20	$417.00	$92.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	180	80	$269.83	$65.25
99213 Established patient office or other outpatient visit, typically 15 minutes	115	59	$146.04	$42.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	21	$409.80	$91.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	150	86	$121.04	$42.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	123	57	$177.84	$65.06

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MN 129504-7

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1659664852 (MN)

Commercial Insurance / Payer ID Mn Medicare Number Ptan

500006831 (MN)

Hospital & Practice Group Affiliations

Range Regional Health Services

3605 Mayfair Ave, Hibbing, MN 557462935

Phone: 2182623441

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Shih-An Hsieh , MD

Internal Medicine

NPI 1003076290

Doctor of Medicine (M.D.)

Janean Mccue , CNP

Nurse Practitioner - Adult Health

NPI 1043569148

Certified Nurse Practitioner

Mmiliaku Nwoye

Obstetrics & Gynecology

NPI 1093980500

Dr. Richard Rudberg , MD

Family Medicine

NPI 1124085279

Doctor of Medicine (M.D.)

Dr. Susan Hoyum , MD

Family Medicine

NPI 1134572092

Doctor of Medicine (M.D.)

Anne Flaim , NP

Nurse Practitioner

NPI 1144287210

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 06, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location May 06, 2014

Registered at 3605 MAYFAIR AVE, HIBBING, MN 557462935 (Tel: 2182623441)

📍

Updated Business Mailing Address May 06, 2014

Registered at 3605 MAYFAIR AVE, HIBBING, MN 557462935 (Tel: 2182623441)

👤

Provider Name / Credentials Updated May 06, 2014

Recorded as KIMBERLY PETTINELLI, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2014

Nurse Practitioner (License #129504-7 in MN)

🟢

Initial NPI Registration & Enumeration May 20, 2011

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: 1659664852

Entity Type:

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

Enumeration Date: May 20, 2011

Last Update: May 06, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3605 Mayfair Ave

Hibbing, MN 557462935

Phone: 2182623441

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.