Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811308265 Individual Practitioner Female Practitioner

Dr. Caitlin Marie Pelletier , MD

Pediatrics • Shakopee, MN

Professional Overview & Biography Verified Profile Summary

Dr. Caitlin Pelletier, MD is a registered healthcare professional specializing in Pediatrics in Shakopee, MN. Practice services are available at 1415 SAINT FRANCIS AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1415 Saint Francis Ave

Shakopee, MN 553793374

Telephone 9529937750
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Shakopee, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
13 Specialists

Practicing in Shakopee, MN (1325 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

CMS Verified: 2021-03-10
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MN 62330

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

2401 Gillham Rd

Kansas City, MO 641084619

Phone: 8162343000

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Kristin Witte , DO

Family Medicine

NPI 1013118173

Doctor of Osteopathic Medicine (D.O.)

Dr. Ann O'donnell , MD

Obstetrics & Gynecology

NPI 1023067204

Doctor of Medicine (M.D.)

Bridget Holbrook , PA-C

Physician Assistant

NPI 1023490174

Physician Assistant (Certified)

Dr. Trevor Busch , MD

Family Medicine

NPI 1043297021

Doctor of Medicine (M.D.)

NPI 1043531437

Doctor of Medicine (M.D.)

Craig Stibal

Podiatrist - Primary Podiatric Medicine

NPI 1104803881

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Business Mailing Address March 10, 2021

Registered at 8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2021

Pediatrics (License #62330 in MN)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Student in an Organized Health Care Education/Training Program

NPI Profile Active July 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 10, 2017

Registered at 1415 SAINT FRANCIS AVE, SHAKOPEE, MN 553793374 (Tel: 9529937750)

📍
Updated Business Mailing Address July 10, 2017

Registered at 2401 GILLHAM RD, KANSAS CITY, MO 641084619 (Tel: (816) 234-3000)

👤
Provider Name / Credentials Updated July 10, 2017

Recorded as CAITLIN PELLETIER, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2017

Pediatrics (License #62330 in MN)

NPI Profile Active May 19, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location May 19, 2014

Registered at 2401 GILLHAM RD, KANSAS CITY, MO 641084619 (Tel: 8162343000)

📍
Updated Business Mailing Address May 19, 2014

Registered at 2401 GILLHAM RD, KANSAS CITY, MO 641084619 (Tel: 8162343000)

👤
Provider Name / Credentials Updated May 19, 2014

Recorded as CAITLIN PELLETIER, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2014

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 19, 2014

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: 1811308265
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 19, 2014
Last Update: March 10, 2021
Sole Proprietor: No

Mailing Address

8170 33rd Ave S, Ms 21110q

Bloomington, MN 55425

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.