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

Kristine Mary Cody

Individual provider Family Nurse Practitioner · NPI 1386160166

Kristine Mary Cody is a Nurse Practitioner in Eagan, Minnesota. Qualified in 2017, 9 years ago. Practices with Fairview Clinics, a 806-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
9
Licensed in
MN
In the registry since
2017

Practice location Address checks out

3305 Central Park Village Dr
Eagan, MN 55121-7707
Phone: (651) 406-8860
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5276 (MN)

Record details

NPI number1386160166
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 14, 2017
Last updated in NPPESJuly 24, 2020
Certification dateJuly 24, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Fairview Clinics — 806 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

Other providers in Eagan