KELLAN VENCIL
NPI 1083143655
Counselor - Professional in Andover, MN
About Kellan Vencil NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLAN VENCIL (NPI 1083143655) is an individual professional provider in Andover, Minnesota, licensed in Minnesota (CC02700) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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
Kellan Vencil 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.
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.
ANDOVER, MN 55304
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 Kellan Vencil's NPI number?
The NPI number for Kellan Vencil is 1083143655. It was assigned to this individual provider in the NPPES registry on June 7, 2017.
Where is Kellan Vencil located?
Kellan Vencil practices at 1875 Station Pkwy NW, Andover, MN 55304. The listed phone number is (763) 482-9598.
What is Kellan Vencil's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kellan Vencil enrolled in Medicare?
Yes. Kellan Vencil 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.
What insurance does Kellan Vencil accept?
Health plans from HealthPartners list Kellan Vencil 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 Kellan Vencil was last updated on July 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kellan Vencil · NPI 1083143655
Professional provider in Andover, Minnesota. Individual provider, active in the CMS NPPES registry since June 7, 2017.
## Identity
- **NPI:** 1083143655 (Entity type: Individual)
- **Enumerated:** June 7, 2017
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** CC02700 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1875 STATION PKWY NW, Andover, MN 55304-3319
- **Phone:** (763) 482-9598
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** July 15, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1083143655) · Data from the CMS NPPES public registry.