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Kathryn Jane Conway , APRN

Nurse Practitioner β€’ Maple Grove, MN

Active NPI 1962350603 Individual Practitioner Female Practitioner
Practice location in NPPES

9555 Upland Ln N
Maple Grove, MN 553694485

Call 9529931440 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

9555 Upland Ln N

Maple Grove, MN 553694485

Telephone 9529931440
Organization at the Same NPPES Address or Phone
Park Nicollet Health Care Products Facility NPI 1821476920

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2025

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

1 years (graduated 2025)

CMS Doctors and Clinicians data list 2025 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2026

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Kathryn Conway has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Kathryn Conway as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Maple Grove and Minnesota

23 active clinicians are listed under Nurse Practitioner with a practice address in Maple Grove, MN (2,583 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Maple Grove

30.4% of these 23 clinicians have the CMS telehealth indicator.

60.9% of these 23 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-05-19
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES MN 13715

(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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20260511000534

Enrollment State Jurisdiction

MN

PECOS Control ID

6406324268

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Bjorn Bakken , MD

Internal Medicine - Sports Medicine

NPI 1174939706

Doctor of Medicine (M.D.)

Tara Barrack , PA-C

Physician Assistant - Surgical

NPI 1104266865

Physician Assistant (Certified)

NPI 1932767399

Doctor of Medicine (M.D.)

Dr. James Capes , MD

Internal Medicine

NPI 1467476481

Doctor of Medicine (M.D.)

Dr. Brett Carlson , MD

Internal Medicine - Cardiovascular Disease

NPI 1992975791

Doctor of Medicine (M.D.)

NPI 1710964705

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Business Mailing Address May 19, 2026

Registered at 8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 554254516

βœ…
NPI Profile Active March 18, 2026

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 18, 2026

Registered at 9555 UPLAND LN N, MAPLE GROVE, MN 553694485 (Tel: 9529931440)

πŸ“
Business Mailing Address (Initial Record) March 18, 2026

Registered at 9555 UPLAND LN N, MAPLE GROVE, MN 553694485 (Tel: 9529931440)

πŸ‘€
Provider Name / Credentials (Initial Record) March 18, 2026

Recorded as KATHRYN CONWAY, APRN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2026

Nurse Practitioner (license number reported to NPPES: MN 13715)

🟒
Initial NPI Registration & Enumeration March 18, 2026

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1962350603
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 18, 2026
Last Update: May 19, 2026
Sole Proprietor: No

Other Nurse Practitioners in Maple Grove

All Nurse Practitioners in Maple Grove

Mailing Address

8170 33rd Ave S # Ms 21110q

Bloomington, MN 554254516

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.