KELLI BRONDER (APRN,CNP,RN) – Gerontology Nurse Practitioner, NPI 1053073866

KELLI BRONDER (APRN,CNP,RN) is a healthcare provider. based in Minneapolis, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN,CNP,RN. They hold a License No. 8617 (MN). The NPI Number for KELLI BRONDER (APRN,CNP,RN) is 1053073866

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
KELLI BRONDER (APRN,CNP,RN)
NPI
1053073866
Phone
(763) 587-7737
Address
3433 BROADWAY ST NE STE 300
Enumeration Date
8 October 2021
Last Update Date
17 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7635877737
Graduation Year
2021 (5 years ago)
PAC ID
4587045570
Group Practice PAC ID
8628585080
Professional Enrollment ID
I20220721003893
Address ID
MN554131761MI3433XNEXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for KELLI BRONDER (APRN,CNP,RN)

  • 3433 BROADWAY ST NE STE 300

    MINNEAPOLIS, MN 554131761

    Phone: (763) 587-7737

    Fax: (763) 587-7069

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2022-07-21

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
I20220721003893INurse 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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes18287$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes1814$0
View full utilization report →

Insurance plans in this area (ZIP 55413)

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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: 8628585080View full group profile
NameSpecialtyState
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN
Family PracticeMN
Nurse PractitionerMN
Family PracticeMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

How do payers reference KELLI BRONDER (APRN,CNP,RN)?
For KELLI BRONDER (APRN,CNP,RN), use NPI 1053073866 as the unique 10-digit identifier.
Is KELLI BRONDER (APRN,CNP,RN) shown as active in public data?
Registry records indicate KELLI BRONDER (APRN,CNP,RN) maintains an active NPI.
What area of care is associated with KELLI BRONDER (APRN,CNP,RN)?
KELLI BRONDER (APRN,CNP,RN)'s record emphasizes Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is KELLI BRONDER (APRN,CNP,RN) located near Minneapolis?
KELLI BRONDER (APRN,CNP,RN) currently maps to Minneapolis, Minnesota in this extract.
Can I trust this NPI listing for KELLI BRONDER (APRN,CNP,RN)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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