KELLI J SIMMONS (APRN) – Adult Health Clinical Nurse Specialist, NPI 1336186048
Adult Health Clinical Nurse Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
104 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in MN
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Provider Addresses for KELLI J SIMMONS (APRN)
1570, Eustis Street, North Saint Anthony Park, Saint Anthony Park, Lauderdale, Ramsey County, Minnesota, 55108, United States
APARTMENT 133
LAUDERDALE, MN 551081260
Phone: (651) 646-0172
Type: Mailing
Mayo Memorial Building, 420, Southeast Delaware Street, University, Stadium Village, University, Minneapolis, Hennepin County, Minnesota, 55455, United States
MAYO MAIL CODE 450
MINNEAPOLIS, MN 55455
Phone: (612) 626-5919
Fax: (612) 625-4406
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: 2008-10-29
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 |
|---|---|---|---|---|
| I20081029000585 | I | Certified Clinical Nurse Specialist (Cns) | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 78 | 78 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 51 | 50 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 27 | 27 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 22 | 22 | $0 |
Insurance plans in this area (ZIP 55108)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | MN | |
| N E U R O S U R G E R Y | OH | |
| G A S T R O E N T E R O L O G Y | MN | |
| Diagnostic Radiology | MN | |
| Internal Medicine | MN | |
| - | MN | |
| Registered Dietitian Or Nutrition Professional | MN | |
| Internal Medicine, Gastroenterology | MN | |
| A N E S T H E S I O L O G Y | MN | |
| Physician Assistant | MN |
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