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

Kristen Engstrom

Individual provider Nurse Practitioner · NPI 1164074787

Kristen Engstrom is a Nurse Practitioner in Saint Paul, Minnesota. Qualified in 2019, 7 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
7
Licensed in
MN
In the registry since
2019
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Practice location Address checks out

640 Jackson St
Saint Paul, MN 55101-2502
Phone: (651) 254-3448
Fax: (651) 254-3470
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 6691 (MN)

Record details

NPI number1164074787
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 13, 2019
Last updated in NPPESMarch 16, 2021
Certification dateMarch 16, 2021
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 2019 (7 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

Other providers in Saint Paul