Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1528020922 Individual Practitioner Female Practitioner

Mary Kidder

Nurse Practitioner • Saint Paul, MN

Professional Overview & Biography Verified Profile Summary

Mary Kidder is a registered healthcare professional specializing in Nurse Practitioner in Saint Paul, MN. Practice services are available at 153 CESAR CHAVEZ ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

153 Cesar Chavez St

Saint Paul, MN 551072226

Telephone 6512221816
Fax 6516027517
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Saint Paul, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.2 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
171 Specialists

Practicing in Saint Paul, MN (2609 Statewide)

Telehealth Adoption Rate
16.4% 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 Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MN 113653-3

(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

Commercial Insurance / Payer ID Medica
1200702 (MN)
Commercial Insurance / Payer ID Preferred One
NA9021022925 (MN)
Commercial Insurance / Payer ID Health Partners
HP30371 (MS)
Commercial Insurance / Payer ID Bcbs
72Q60KI (MN)
Commercial Insurance / Payer ID Ucare
127696 (MN)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Jeanne Rancone

Nurse Practitioner

NPI 1003877705
Karen Wolf

Nurse Practitioner

NPI 1033170170
Tamara Jackman

Advanced Practice Midwife

NPI 1053371872
Sarah Shriver

Social Worker

NPI 1063473221
Dr. Mary Nesvig , MD

Family Medicine

NPI 1073572038

Doctor of Medicine (M.D.)

Denise Alden

Advanced Practice Midwife

NPI 1093775884

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 153 CESAR CHAVEZ ST, SAINT PAUL, MN 551072226 (Tel: 6512221816)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2601 40TH AVE S, MINNEAPOLIS, MN 554061862

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARY KIDDER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #113653-3 in MN)

🟢
Initial NPI Registration & Enumeration April 03, 2006

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: 1528020922
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 03, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

2601 40th Ave S

Minneapolis, MN 554061862

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.