CHRISTINE KELLEY (P.A.) – Physician Assistant, NPI 1578529889
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,031 PHYSICIAN ASSISTANT in MN
Provider Addresses for CHRISTINE KELLEY (P.A.)
3460 Promenade Ave
Eagan, MN 551234404
Phone: (651) 702-0750
Fax: (651) 645-6166
Type: Location
11020 161st St W
Lakeville, MN 550446507
Phone: (651) 702-0750
Fax: (651) 645-6166
Type: Location
3590 Arcade St
Vadnais Heights, MN 551277135
Phone: (651) 702-0750
Fax: (651) 645-6166
Type: Location
215 RADIO DR STE 202
WOODBURY, MN 551255822
Phone: (651) 702-0750
Fax: (651) 645-6166
Type: Mailing
217 RADIO DR
WOODBURY, MN 551255805
Phone: (651) 702-0750
Fax: (651) 645-6166
Type: Location
Coon Rapids Boulevard Northwest, Parkside, Coon Rapids, Anoka County, Minnesota, 55434, United States
SUITE 100
COON RAPIDS, MN 554332643
Phone: (763) 427-8320
Fax: (763) 302-4338
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2024-09-05 • Largest payer in this snapshot: Phadia US Inc. ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Phadia US Inc. | $14 |
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: 2005-01-15
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 |
|---|---|---|---|---|
| I20050115000076 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 26 | 19 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 18 | 14 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 13 | 13 | $0 |
Insurance plans in this area (ZIP 55123)
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