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

Kimberly Northwick

Individual provider Nurse Practitioner · NPI 1871921049

Kimberly Northwick is a Nurse Practitioner in Saint Paul, Minnesota. Qualified in 2013, 13 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
13
Licensed in
MN, WI
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

640 Jackson St
Saint Paul, MN 55101
Phone: (651) 254-4887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2288901 (MN)
Nurse Practitioner Taxonomy 363L00000X · Licence 5531-33 (WI)

Record details

NPI number1871921049
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 24, 2013
Last updated in NPPESOctober 18, 2022
Certification dateOctober 18, 2022
Mailing address8170 33rd Ave S # Ms 21110q, Minneapolis, MN 55425-4516

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Saint Paul