KELLY BIER (DPM) – Podiatrist, NPI 1417535667

KELLY BIER (DPM) is a healthcare provider. based in Coon rapids, Minnesota. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 1194 (MN). The NPI Number for KELLY BIER (DPM) is 1417535667

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
KELLY BIER (DPM)
NPI
1417535667
Phone
(763) 421-7300
Address
3790 117th Ln NW
Enumeration Date
30 March 2021
Last Update Date
15 April 2025

Doctor Profile

Medical School Name
ARIZONA PODIATRIC MED PROGRAM AT MIDWESTERN UN
Secondary Phone
7632366000
Graduation Year
2021 (5 years ago)
PAC ID
4981004405
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20241204000266
Address ID
MN554332522CO4050XNWXX500

Contacts

Secure Messaging
kbier555541@excellian.direct.allina.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

232 PODIATRY in MN

Provider Addresses for KELLY BIER (DPM)

  • 3790 117th Ln NW

    Coon Rapids, MN 554332666

    Phone: (763) 421-7300

    Type: Location

  • 4050 COON RAPIDS BLVD NW

    COON RAPIDS, MN 554332522

    Phone: (763) 236-6000

    Fax: (763) 236-8124

    Type: Location

  • 701 PARK AVE

    MINNEAPOLIS, MN 554151623

    Phone:

    Type: Mailing

  • 2925 CHICAGO AVE

    MINNEAPOLIS, MN 554071321

    Phone: (612) 262-9000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $1,298.

Total Amount is formed as General ($1,298) + Research ($0) + Ownership ($0) = $1,298.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Stryker Corporation ($1,096).

Total Amount

$1,298

General + Research + Ownership

Payments

22

Total payment records

General Amount

$1,298

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

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: 2024-12-04

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
I20241204000266IPodiatryMNTBD

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 55433)

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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: 4587573613View full group profile

Reviews

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Frequently asked questions

How do payers reference KELLY BIER (DPM)?
For KELLY BIER (DPM), use NPI 1417535667 as the unique 10-digit identifier.
Active or inactive — what applies to KELLY BIER (DPM)?
You should see KELLY BIER (DPM) as active in CMS-hosted NPPES data.
What area of care is associated with KELLY BIER (DPM)?
KELLY BIER (DPM)'s record emphasizes Podiatrist. Clinical services aligned with this taxonomy classification.
Where in Minnesota is KELLY BIER (DPM) registered?
Use Coon Rapids, Minnesota as the headline location for KELLY BIER (DPM) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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