Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Courtney Kiesow, NP

Individual provider Adult Health Nurse Practitioner · NPI 1750759502

Courtney Kiesow, NP is a Nurse Practitioner in Minneapolis, Minnesota. Qualified in 2014, 12 years ago. Practices with Hennepin County, a 132-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
12
Licensed in
MN
In the registry since
2015
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

525 Portland Ave
Minneapolis, MN 55415-1533
Phone: (612) 543-5555
Fax: (612) 596-7900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence CNP4185 (MN)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence CNP4185 (MN)

Record details

NPI number1750759502
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 10, 2015
Last updated in NPPESOctober 22, 2024
Certification dateOctober 22, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Hennepin County — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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