KELLI MARIE RAY LICSW
NPI 1033997713
Social Worker - Clinical in Rochester, MN
About Kelli Marie Ray Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLI MARIE RAY LICSW (NPI 1033997713) is an individual clinical provider in Rochester, Minnesota, licensed in Minnesota (21892) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelli Marie Ray Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROCHESTER, MN 55905
ROCHESTER, MN 55905
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kelli Ray's NPI number?
The NPI number for Kelli Ray is 1033997713. It was assigned to this individual provider in the NPPES registry on September 15, 2023.
Where is Kelli Ray located?
Kelli Ray practices at 200 1st St SW, Rochester, MN 55905. The listed phone number is (507) 284-2511.
What is Kelli Ray's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Kelli Ray enrolled in Medicare?
Yes. Kelli Ray is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Kelli Ray was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kelli Marie Ray, LICSW · NPI 1033997713
Clinical provider in Rochester, Minnesota. Individual provider, active in the CMS NPPES registry since September 15, 2023.
## Identity
- **NPI:** 1033997713 (Entity type: Individual)
- **Enumerated:** September 15, 2023
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 21892 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 1ST ST SW, Rochester, MN 55905-0001
- **Phone:** (507) 284-2511
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** October 11, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1033997713) · Data from the CMS NPPES public registry.