KELLI BRONDER APRN,CNP,RN
NPI 1053073866
Nurse Practitioner - Gerontology in Minneapolis, MN

Q: What is Kelli Bronder's NPI number?

The NPI number for Kelli Bronder is 1053073866. It was assigned to this individual provider in the NPPES registry on October 8, 2021.

Q: What is Kelli Bronder's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Kelli Bronder was last updated on May 17, 2024. 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.

Active since October 08, 2021PECOS EnrolledAccepts Medicare Assignment

3433 BROADWAY ST NE STE 300, MINNEAPOLIS, MN 55413(763) 587-7737(763) 587-7069 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 17, 2024, Feb 18, 2022, Oct 8, 2021 (3 updates tracked since 2021).

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About Kelli Bronder Aprn,cnp,rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLI BRONDER APRN,CNP,RN (NPI 1053073866) is an individual gerontology provider in Minneapolis, Minnesota, licensed in Minnesota (8617) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1053073866

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameKELLI BRONDERCredential: APRN,CNP,RN

Location Address3433 BROADWAY ST NE STE 300Minneapolis, MN 55413-1761

Mailing Address3433 Broadway St Ne Ste 300Minneapolis, MN 55413-1761 · (763) 587-7737 · Fax (763) 587-7069

Phone(763) 587-7737

Fax(763) 587-7069

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 8, 2021

Last NPPES UpdateMay 17, 20243 updates tracked since enumeration

NPPES CertifiedMay 17, 2024

✔ NPI 1053073866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in MN · 8617

Also ListedNurse PractitionerTaxonomy 363L00000X · License 8617 (MN)

3433 BROADWAY ST NE STE 300, Minneapolis, MN 55413

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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

Kelli Bronder Aprn,cnp,rn 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.

PECOS PAC ID4587045570

PECOS Enrollment IDI20220721003893

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Kelli Bronder reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Genevive Aco LLC

Same address

Hospice and Palliative Medicine

3433 BROADWAY ST NE STE 300
Minneapolis, MN 55413

Reassigned Medicare billing, Minnesota enrollment
44 clinicians in this Medicare group

NPI 1053200543 (763) 587-7737

Geriatric Services Of Minnesota, LLC

Same address

Geriatric Medicine

3433 BROADWAY ST NE STE 300
Minneapolis, MN 55413

Reassigned Medicare billing, Minnesota enrollment
46 clinicians in this Medicare group

NPI 1093131419 (763) 587-7737

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

96 services56 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

80 services43 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

51 services37 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

30 services19 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

22 services15 patients

Nursing facility discharge management, more than 30 minutes 99316

Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.

18 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240053

Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55413 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

NATALIE COWELL

Nurse Practitioner (Gerontology)