KERSTEN LARAYNE BAILEY (NP) – Family Nurse Practitioner, NPI 1356963789

KERSTEN LARAYNE BAILEY (NP) is a healthcare provider. based in Minneapolis, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. AP61071006 (WA). The NPI Number for KERSTEN LARAYNE BAILEY (NP) is 1356963789

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
KERSTEN LARAYNE BAILEY (NP)
NPI
1356963789
Phone
(612) 823-1458
Address
2958 LINCOLN ST NE
Enumeration Date
7 May 2020
Last Update Date
18 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2534288700
Graduation Year
2019 (7 years ago)
PAC ID
7416324090
Group Practice PAC ID
8022903384
Professional Enrollment ID
I20221110002917
Address ID
WA980038707FE34509SXXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:6State licenses:2Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for KERSTEN LARAYNE BAILEY (NP)

  • 2958 LINCOLN ST NE

    MINNEAPOLIS, MN 554182236

    Phone: (612) 823-1458

    Type: Location

  • 100 E 33RD ST STE 206

    VANCOUVER, WA 986632776

    Phone: (612) 823-1458

    Type: Mailing

  • 2781 S 242nd St

    Des Moines, WA 981985166

    Phone: (062) 124-5002

    Fax: (206) 212-4515

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 38 Open Payments records for all available years, with a total value of $914.

Total Amount is formed as General ($914) + Research ($0) + Ownership ($0) = $914.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Amgen Inc. ($234).

Total Amount

$914

General + Research + Ownership

Payments

38

Total payment records

General Amount

$914

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-11-10

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
I20221110002917INurse PractitionerWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55418)

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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: 8022903384View full group profile
NameSpecialtyState
Nurse PractitionerMD
Nurse PractitionerWA
Nurse PractitionerWA
-WA
Physician AssistantWA
Nurse PractitionerWA
Physician AssistantFL
Hematology/Oncology, Internal Medicine, Medical OncologyWA
Nurse PractitionerWA
H E M A T O L O G Y/ O N C O L O G YWA

Reviews

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Frequently asked questions

What is the 10-digit NPI for KERSTEN LARAYNE BAILEY (NP)?
KERSTEN LARAYNE BAILEY (NP) — NPI 1356963789 — is the standard way to identify this listing.
Can I rely on KERSTEN LARAYNE BAILEY (NP) being an active provider?
As of the registry snapshot, KERSTEN LARAYNE BAILEY (NP) is marked active.
What taxonomy line describes KERSTEN LARAYNE BAILEY (NP)?
For research purposes, treat KERSTEN LARAYNE BAILEY (NP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is KERSTEN LARAYNE BAILEY (NP) based?
KERSTEN LARAYNE BAILEY (NP) is tied to Minneapolis, Minnesota in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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