DR. KENNETH MCRAE (DNP, APRN, CNP) – Acute Care Nurse Practitioner, NPI 1003290685

DR. KENNETH MCRAE (DNP, APRN, CNP) is a healthcare provider. based in Fridley, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, APRN, CNP. They hold a License No. 3895 (MN). The NPI Number for DR. KENNETH MCRAE (DNP, APRN, CNP) is 1003290685

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH MCRAE (DNP, APRN, CNP)
NPI
1003290685
Phone
Not provided
Address
550 OSBORNE RD NE
Enumeration Date
14 July 2015
Last Update Date
26 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6128634000
Graduation Year
2018 (8 years ago)
PAC ID
3375842131
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20160428001395
Address ID
MN554071321MI2925XAVEX300

Contacts

Secure Messaging
kmcrae168120@excellian.direct.allina.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

5,720 NURSE PRACTITIONER in MN

Provider Addresses for DR. KENNETH MCRAE (DNP, APRN, CNP)

  • 550 OSBORNE RD NE

    FRIDLEY, MN 554322718

    Phone:

    Type: Mailing

  • 2925 CHICAGO AVE

    MINNEAPOLIS, MN 55407

    Phone: (763) 236-5000

    Type: Location

  • 5829 44TH AVE SOUTH

    MINNEAPOLIS, MN 554172718

    Phone: (612) 817-1211

    Type: Mailing

  • 15251 Pleasant Valley Rd

    Center City, MN 550129640

    Phone: (651) 213-4277

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-04-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160428001395INurse PractitionerMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4322$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2316$0
View full utilization report →

Insurance plans in this area (ZIP 55432)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587573613View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for DR. KENNETH MCRAE (DNP, APRN, CNP)?
Save NPI 1003290685 if you need a stable reference for DR. KENNETH MCRAE (DNP, APRN, CNP).
Is DR. KENNETH MCRAE (DNP, APRN, CNP)'s NPI currently valid?
The extract we use shows DR. KENNETH MCRAE (DNP, APRN, CNP) as active.
What does DR. KENNETH MCRAE (DNP, APRN, CNP) treat or focus on?
Patients typically see DR. KENNETH MCRAE (DNP, APRN, CNP) under the specialty Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is DR. KENNETH MCRAE (DNP, APRN, CNP)'s primary listing?
We display Fridley, Minnesota because that is what the record indicates for DR. KENNETH MCRAE (DNP, APRN, CNP).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

KATE CHRISTOPHER (ACNP)

Acute Care Nurse Practitioner
2604 N BURLING ST APT 1
NPI: 1538419304

SAMANTHA JULIANNE JOHNSON (NP)

Acute Care Nurse Practitioner
3300 OAKDALE AVE N
NPI: 1194365999

DIANA FRANCIS NIBLACK (NP)

Family Nurse Practitioner
150 HARTMAN CIR NE
NPI: 1275255721