KELLEN JAMES CAMERON DPT
NPI 1164144002
Physical Therapist in Maple Grove, MN
About Kellen James Cameron Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLEN JAMES CAMERON DPT (NPI 1164144002) is an individual physical therapist in Maple Grove, Minnesota, licensed in Minnesota (12872) and active in the NPI registry since September 2022. He is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kellen James Cameron Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kellen Cameron reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Maple Grove, MN 55369
- Reassigned Medicare billing, Minnesota enrollment
- 43 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.
Areas of Expertise CMS Part B claims 3
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.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MAPLE GROVE, MN 55369
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 Kellen Cameron's NPI number?
The NPI number for Kellen Cameron is 1164144002. It was assigned to this individual provider in the NPPES registry on September 16, 2022.
Where is Kellen Cameron located?
Kellen Cameron practices at 7767 Elm Creek Blvd N Ste 160, Maple Grove, MN 55369. The listed phone number is (763) 201-8191.
What is Kellen Cameron's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Kellen Cameron enrolled in Medicare?
Yes. Kellen Cameron is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kellen Cameron's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kellen Cameron reassigns Medicare benefits to Interventional Spine And Pain Physicians, PA (Maple Grove, MN). The 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 Kellen Cameron's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kellen Cameron was last updated on September 16, 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.