KELSEY LYNN STEVENS – Physician Assistant, NPI 1033713821
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,048 PHYSICIAN ASSISTANT in MN
Provider Addresses for KELSEY LYNN STEVENS
3539 KNIGHTSBRIDGE TRL N
LAKE ELMO, MN 550425525
Phone: (651) 491-3732
Type: Mailing
2090 WOODWINDS DR
WOODBURY, MN 551252522
Phone: (651) 968-5200
Type: Location
2503 NEAL CT N
STILLWATER, MN 550823015
Phone: (651) 491-3732
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $691.
Total Amount is formed as General ($691) + Research ($0) + Ownership ($0) = $691.
Last reported payment date: 2024-08-01 • Largest payer in this snapshot: Arthrex, Inc. ($460).
Total Amount
$691
General + Research + Ownership
Payments
17
Total payment records
General Amount
$691
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Arthrex, Inc. | $460 |
| Foundation Medical, Llc | $149 |
| DePuy Synthes Sales Inc. | $47 |
| Orthofix Medical, Inc. | $21 |
| Ethicon US, LLC | $14 |
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: 2022-03-30
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220330001932 | I | Physician Assistant | MN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 89 | 49 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 62 | 41 | $0 |
| 73610 | X-ray of ankle, minimum of 3 views | 54 | 27 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 19 | 17 | $0 |
| 73600 | X-ray of ankle, 2 views | 18 | 15 | $0 |
Insurance plans in this area (ZIP 55042)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| - | MN | |
| - | MN | |
| Physical Therapist In Private Practice | MN | |
| Occupational Therapist In Private Practice | MN | |
| Physical Therapist In Private Practice | MN | |
| Physical Therapist In Private Practice | MN | |
| - | MN | |
| Physical Therapist In Private Practice | WA | |
| Physical Therapist In Private Practice | MN |
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