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KELSEY MILLER
NPI 1164957858
Counselor - Mental Health in Plymouth, MN

Active since May 01, 2017PECOS Enrolled
3251 FERNBROOK LN N, PLYMOUTH, MN 55447(612) 268-5858(952) 548-8760 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kelsey Miller NPPES

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

KELSEY MILLER (NPI 1164957858) is an individual mental health provider in Plymouth, Minnesota, licensed in Minnesota (CC01511) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and is a graduate of University Of North Dakota School Of Medicine (2014).

NPPES Registry Identity

NPI1164957858
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELSEY MILLER
Location Address3251 FERNBROOK LN NPlymouth, MN 55447-5352
Mailing Address3395 Plymouth RdMinnetonka, MN 55305-3765 · (952) 939-0396 · Fax (952) 548-8760
Phone(612) 268-5858
Fax(952) 548-8760
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2014
Enumeration DateMay 1, 2017
Last NPPES UpdateMay 15, 2023
NPPES CertifiedMay 15, 2023
✔ NPI 1164957858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · CC01511
3251 FERNBROOK LN N, Plymouth, MN 55447
Open in Google Maps ↗

Other Names 1

Other Name (5)Kelsey Bauer

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey Miller is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42661472
PECOS Enrollment IDI20240110000169
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 Reassignment

Medicare enrollment records show Kelsey Miller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Affinity Psychological Services, P.C.
12 mi
Mental Health
7401 METRO BLVD STE 250
Edina, MN 55439
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Affinity Psychological Services PC
  • 136 clinicians in this Medicare group
NPI 1245610856 (612) 268-5858

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

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIELLE NORGREN
Counselor (Mental Health)
3251 FERNBROOK LN N
PLYMOUTH, MN 55447
Hennepin County (612) 268-5858
PAULINE APRIL SVARE MA, LMFT
Marriage & Family Therapist
3251 FERNBROOK LN N
PLYMOUTH, MN 55447
Hennepin County (612) 268-5858
MS. SUSAN ORA WILLIAMS MSW, LICSW
Social Worker (Clinical)
3251 FERNBROOK LN N
PLYMOUTH, MN 55447
Hennepin County (612) 268-5858
ANNA CHRISTINE TROUT LMFT
Counselor (Mental Health)
3251 FERNBROOK LN N
PLYMOUTH, MN 55447
Hennepin County (612) 268-5858
HILLARY MARSHALL LICSW
Counselor (Mental Health)
3251 FERNBROOK LN N
PLYMOUTH, MN 55447
Hennepin County (612) 268-5858
SIERRA NICHOLS LMFT
Marriage & Family Therapist
3251 FERNBROOK LN N
PLYMOUTH, MN 55447
Hennepin County (612) 268-5858

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 Miller's NPI number?

The NPI number for Kelsey Miller is 1164957858. It was assigned to this individual provider in the NPPES registry on May 1, 2017. The provider is also known as Kelsey Bauer.

Where is Kelsey Miller located?

Kelsey Miller practices at 3251 Fernbrook Ln N, Plymouth, MN 55447. The listed phone number is (612) 268-5858.

What is Kelsey Miller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kelsey Miller enrolled in Medicare?

Yes. Kelsey Miller is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelsey Miller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Miller reassigns Medicare benefits to Affinity Psychological Services, P.C. (Edina, 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 Kelsey Miller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelsey Miller accept?

Health plans from HealthPartners list Kelsey Miller 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 Miller was last updated on May 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.