KELSI SPARKS – Family Nurse Practitioner, NPI 1427900646

KELSI SPARKS is a healthcare provider. based in Waseca, Minnesota. specializing in NURSE PRACTITIONER. They hold a License No. 13909 (MN). The NPI Number for KELSI SPARKS is 1427900646

Main info

Female
Sole Proprietor
6 Years Of Experience
Name
KELSI SPARKS
NPI
1427900646
Phone
Not provided
Address
33488 100TH ST
Enumeration Date
11 February 2026
Last Update Date
26 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2020 (6 years ago)
PAC ID
5698258382
Professional Enrollment ID
I20260311001397
Address ID
TX787597203AU8911XHWYX611
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for KELSI SPARKS

  • 33488 100TH ST

    WASECA, MN 560935001

    Phone:

    Type: Mailing

  • 500 22ND AVE NW

    WASECA, MN 560932665

    Phone: (507) 201-3000

    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: 2026-03-11

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
I20260311001397INurse PractitionerMNTBD

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 56093)

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Reviews

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Frequently asked questions

Does KELSI SPARKS share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KELSI SPARKS uses 1427900646.
Can I rely on KELSI SPARKS being an active provider?
As of the registry snapshot, KELSI SPARKS is marked active.
What taxonomy line describes KELSI SPARKS?
For research purposes, treat KELSI SPARKS as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is KELSI SPARKS based?
KELSI SPARKS is tied to Waseca, Minnesota in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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