MARIAN LAURA ELIZABETH KEILLOR (MSN, APRN, CNM, CLC) – Advanced Practice Midwife, NPI 1295283075
Advanced Practice Midwife
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MARIAN LAURA ELIZABETH KEILLOR (MSN, APRN, CNM, CLC)
1700 UNIVERSITY AVE W
SAINT PAUL, MN 551043727
Phone:
Type: Mailing
2945 HAZELWOOD ST STE 100
MAPLEWOOD, MN 551091242
Phone: (651) 232-7800
Fax: (651) 232-7940
Type: Location
9825 Hospital Dr
#205
Maple Grove, MN 553694479
Phone: (763) 587-7004
Fax: (763) 587-7005
Type: Location
NovaCare Rehabilitation, 5700, Bottineau Boulevard, Crystal, Hennepin County, Minnesota, 55429, United States
#210
CRYSTAL, MN 554293183
Phone: (763) 587-7004
Fax: (763) 587-7005
Type: Mailing
9825, Hospital Drive, The Grove, Maple Grove, Hennepin County, Minnesota, 55369, United States
#205
MAPLE GROVE, MN 553694479
Phone: (763) 587-7004
Fax: (763) 587-7005
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: 2016-11-15
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 |
|---|---|---|---|---|
| I20161115002495 | I | Certified Nurse Midwife (Cnm) | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55104)
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