Individual ProviderChloe D. NewkirkNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9900 Bren Rd E, Minnetonka, MN 55343(000) 000-0000PECOS EnrollmentBased on the most recent information from CMS, provider Chloe D. Newkirk does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1750757746Provider TypeIndividualFull NameNewkirk, Chloe D.CredentialANP-CGenderFemaleSole ProprietorNoEnumeration Date8/13/2015Last Updated7/1/2020Contact InformationPractice LocationPractice Address9900 Bren Rd E, Minnetonka, MN 55343Phone(000) 000-0000FaxUnlisted FaxMailing LocationMailing AddressPO Box 1459, Minneapolis, MN 55440-1459PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN.CNP.17565OhioCode363L00000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense2014009614KentuckyProvider IdentifiersIDDescriptionIssuerID3009379DescriptionOtherIssuerKY APRN LICENSEKentuckyID7100378000DescriptionMedicaidIssuerUnlistedKentucky