KELSEY SCAMPOLI
NPI 1043753049
Psychologist in Saint Paul, MN
About Kelsey Scampoli NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELSEY SCAMPOLI (NPI 1043753049) is an individual psychologist in Saint Paul, Minnesota, licensed in Minnesota (LP6031) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelsey Scampoli 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.
Medicare Billing Reassignments
3Medicare enrollment records show Kelsey Scampoli reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Fairview Express Care
- 3,633 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 2,373 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT PAUL, MN 55108
SAINT PAUL, MN 55108
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 Kelsey Scampoli's NPI number?
The NPI number for Kelsey Scampoli is 1043753049. It was assigned to this individual provider in the NPPES registry on November 22, 2016.
Where is Kelsey Scampoli located?
Kelsey Scampoli practices at 1360 Energy Park Dr Ste 340, Saint Paul, MN 55108. The listed phone number is (651) 646-8985.
What is Kelsey Scampoli's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Kelsey Scampoli enrolled in Medicare?
Yes. Kelsey Scampoli 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.
Which organizations bill Medicare for Kelsey Scampoli's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Scampoli reassigns Medicare benefits to 3 organizations: Fairview Specialty Services (Saint Paul, MN), Fairview Specialty Services (Saint Paul, MN) and Fairview Health Services (Minneapolis, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelsey Scampoli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelsey Scampoli accept?
Health plans from Sanford Health Plan list Kelsey Scampoli as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kelsey Scampoli was last updated on November 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.