KELLY VEVEA – Family Nurse Practitioner, NPI 1093268393

KELLY VEVEA is a healthcare provider. based in Saint louis park, Minnesota. specializing in NURSE PRACTITIONER. They hold a License No. 2016018311 (MN). The NPI Number for KELLY VEVEA is 1093268393

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
KELLY VEVEA
NPI
1093268393
Phone
Not provided
Address
2605 YUKON AVE S
Enumeration Date
3 August 2016
Last Update Date
3 August 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6516965000
Graduation Year
2016 (10 years ago)
PAC ID
3072800150
Group Practice PAC ID
7113830142
Professional Enrollment ID
I20160919000980
Address ID
MN551163337SA2270XPKWY303
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

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Provider Addresses for KELLY VEVEA

  • 2605, Yukon Avenue South, Cedar Manor, Saint Louis Park, Hennepin County, Minnesota, 55426, United States

    SAINT LOUIS PARK, MN 554262422

    Phone:

    Type: Mailing

  • 290, Main Street Northwest, Elk River, Sherburne County, Minnesota, 55330, United States

    ELK RIVER, MN 553301270

    Phone: (612) 672-2986

    Type: Location

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: 2016-09-19

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
I20160919000980INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes4331$0
36415Insertion of needle into vein for collection of blood sample3724$0
80053Blood test, comprehensive group of blood chemicals2119$0
80061Blood test, lipids (cholesterol and triglycerides)1818$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count1311$0
View full utilization report →

Insurance plans in this area (ZIP 55426)

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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: 7113830142View full group profile

Reviews

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Frequently asked questions

What is KELLY VEVEA's NPI number?
KELLY VEVEA's NPI is 1093268393 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to KELLY VEVEA?
You should see KELLY VEVEA as active in CMS-hosted NPPES data.
What expertise is attributed to KELLY VEVEA?
KELLY VEVEA's specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is KELLY VEVEA located near Saint Louis Park?
KELLY VEVEA currently maps to Saint Louis Park, Minnesota in this extract.
Does KELLY VEVEA accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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