KELLIE LYNN LEBLANC APRN, FNP-C
NPI 1124636063
Nurse Practitioner - Psychiatric/Mental Health in Golden Valley, MN

Active since July 16, 2020PECOS EnrolledAccepts Medicare Assignment
700 DECATUR AVE NORTH, STE 109, GOLDEN VALLEY, MN 55427(612) 682-4912(612) 682-4914 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 26, 2022, Jul 16, 2020 (2 updates tracked since 2020).

About Kellie Lynn Leblanc Aprn, Fnp-c NPPES

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

KELLIE LYNN LEBLANC APRN, FNP-C (NPI 1124636063) is an individual psychiatric/mental health provider in Golden Valley, Minnesota, licensed in Minnesota (7557) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1124636063
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKELLIE LYNN LEBLANCCredential: APRN, FNP-C
Location Address700 DECATUR AVE NORTH, STE 109Golden Valley, MN 55427
Mailing Address700 Decatur Ave North, Ste 109Golden Valley, MN 55427 · (612) 682-4912 · Fax (612) 682-4914
Fax(612) 682-4914
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 16, 2020
Last NPPES UpdateNovember 28, 20232 updates tracked since enumeration
NPPES CertifiedAugust 26, 2022
NPI 1124636063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MN · 7557
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 7557 (MN)
700 DECATUR AVE NORTH, Golden Valley, MN 55427

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

Kellie Lynn Leblanc Aprn, Fnp-c 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 ID3870990674
PECOS Enrollment IDI20210921003122
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.

Areas of Expertise CMS Part B claims 4

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.

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
92 services14 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
51 services15 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
46 services15 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
38 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55427 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.

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 Kellie Leblanc's NPI number?

The NPI number for Kellie Leblanc is 1124636063. It was assigned to this individual provider in the NPPES registry on July 16, 2020.

Where is Kellie Leblanc located?

Kellie Leblanc practices at 700 Decatur Ave North Ste 109, Golden Valley, MN 55427. The listed phone number is (612) 682-4912.

What is Kellie Leblanc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kellie Leblanc enrolled in Medicare?

Yes. Kellie Leblanc 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 Kellie Leblanc accept?

Health plans from HealthPartners and Sanford Health Plan list Kellie Leblanc 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 Kellie Leblanc was last updated on November 28, 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.