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

Kimberly De Paulo

Individual provider Nurse Practitioner · NPI 1417308701

Kimberly De Paulo is a Nurse Practitioner in Owatonna, Minnesota. Qualified in 2016, 10 years ago. Practices with Mayo Clinic Health System-Southeast Minnesota Region, a 561-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Maryland and Minnesota.

Years since qualifying
10
Licensed in
MD, MN
In the registry since
2016
Specialties on file
3

Practice location Address checks out

2200 NW 26th St
Owatonna, MN 55060
Phone: (507) 451-1120
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 200 1st St Sw, Rochester, MN 55905-0001 — (507) 284-2511
  • 200 1st St Sw, Rochester, MN 55905-0001 — (507) 284-2511

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5070 (MN)
Nurse Practitioner Taxonomy 363L00000X · Licence R204304 (MD)
Nurse Practitioner Taxonomy 363L00000X · Licence 2445948 (MN)

Record details

NPI number1417308701
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 28, 2016
Last updated in NPPESOctober 5, 2020
Certification dateOctober 5, 2020
Mailing address2200 Nw 26th St, Owatonna, MN 55060-5503

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Mayo Clinic Health System-Southeast Minnesota Region — 561 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Owatonna