ANGELA KEZAR – Occupational Therapist, NPI 1316491970

ANGELA KEZAR is a healthcare provider. based in Saint paul, Minnesota. specializing in Occupational Therapist. They hold a License No. 105115 (MN). The NPI Number for ANGELA KEZAR is 1316491970

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
ANGELA KEZAR
NPI
1316491970
Phone
(651) 254-3200
Address
1710 Suburban Ave
Enumeration Date
11 August 2016
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6512212164
Graduation Year
2015 (11 years ago)
PAC ID
3274817358
Group Practice PAC ID
3173436755
Professional Enrollment ID
I20170309001725
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

Provider Addresses for ANGELA KEZAR

  • 1710 Suburban Ave

    Saint Paul, MN 551066636

    Phone: (651) 254-3200

    Type: Location

  • 640 Jackson St

    Rehabilitation Institute

    Saint Paul, MN 551012502

    Phone: (651) 254-2097

    Type: Location

  • 814, River Lane, Anoka, Anoka County, Minnesota, 55303, United States

    ANOKA, MN 553032807

    Phone: (763) 567-0219

    Type: Mailing

  • 435, Phalen Boulevard, Saint Paul, Ramsey County, Minnesota, 55130, United States

    SAINT PAUL, MN 551305302

    Phone: (651) 254-3200

    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: 2017-03-09

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
I20170309001725IOccupational Therapist In Private PracticeMNTBD

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
97535Training for self-care or home management, each 15 minutes7427$0
97166Evaluation for occupational therapy, typically 45 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 55106)

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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: 3173436755View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
Emergency MedicineMN
Certified Registered Nurse Anesthetist (Crna)MN
Physical Therapist In Private PracticeMN
Occupational Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Certified Registered Nurse Anesthetist (Crna)MN
-WI
Physical Therapist In Private PracticeMN
Certified Registered Nurse Anesthetist (Crna)CA

Reviews

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Frequently asked questions

What identifier follows ANGELA KEZAR across health systems?
The NPI 1316491970 uniquely identifies ANGELA KEZAR in U.S. healthcare data.
Quick check: is ANGELA KEZAR active?
Public NPPES data shows ANGELA KEZAR with an active NPI status right now.
Which specialty label fits ANGELA KEZAR?
NPPES ties ANGELA KEZAR to Occupational Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is ANGELA KEZAR tied to Saint Paul, Minnesota?
If you are local to Saint Paul, Minnesota, ANGELA KEZAR may be relevant to your search.
Can I export ANGELA KEZAR's record?
You can download the official NPPES record; we summarize key fields for readability.

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