KELSEY KATHLEEN STRUB – Physician Assistant, NPI 1124648795
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,031 PHYSICIAN ASSISTANT in MN
Provider Addresses for KELSEY KATHLEEN STRUB
2720 FAIRVIEW AVE N STE 200
ROSEVILLE, MN 551131306
Phone:
Type: Mailing
1409 5TH ST SE
NEW PRAGUE, MN 560712452
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2023-11-30 • Largest payer in this snapshot: Galderma Laboratories, L.P. ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Galderma Laboratories, L.P. | $15 |
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: 2021-12-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211213000578 | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 262 | 76 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 149 | 123 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 137 | 119 | $0 |
| 11103 | Biopsy of related skin growth, each additional growth | 127 | 57 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 116 | 95 | $0 |
Insurance plans in this area (ZIP 55113)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | MN | |
| Physician Assistant | MN | |
| D E R M A T O L O G Y | MN | |
| Physician Assistant | MN | |
| P O D I A T R Y | WI | |
| Physician Assistant | MN | |
| P A T H O L O G Y | IL | |
| Physician Assistant | MN | |
| P A T H O L O G Y | CT | |
| D E R M A T O L O G Y | MN |
Reviews
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