ALEXANDRA KELLY
NPI 1194489914
Registered Nurse in St Louis Park, MN
About Alexandra Kelly NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALEXANDRA KELLY (NPI 1194489914) is an individual registered nurse in St Louis Park, Minnesota, licensed in Minnesota (RN2274821) 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
Specialties & Licenses
Other Names 1
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
Alexandra Kelly 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.
Medicare Billing Reassignment
Medicare enrollment records show Alexandra Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
St Louis Park, MN 55426
- Reassigned Medicare billing, Minnesota enrollment
- 146 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.
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, MNOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ST LOUIS PARK, MN 55426
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 Alexandra Kelly's NPI number?
The NPI number for Alexandra Kelly is 1194489914. It was assigned to this individual provider in the NPPES registry on October 27, 2021. The provider is also known as Alexandra Beckman.
Where is Alexandra Kelly located?
Alexandra Kelly practices at 6500 Excelsior Blvd, St Louis Park, MN 55426. The listed phone number is (952) 993-5000.
What is Alexandra Kelly's specialty?
The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.
Is Alexandra Kelly enrolled in Medicare?
Yes. Alexandra Kelly 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.
Which organization bills Medicare for Alexandra Kelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alexandra Kelly reassigns Medicare benefits to Park Nicollet Methodist Hospital (St Louis Park, 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 Alexandra Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Alexandra Kelly affiliated with any hospitals?
According to CMS data, Alexandra Kelly is affiliated with Park Nicollet Methodist Hospital.
When was this NPI record last updated?
The NPPES record for Alexandra Kelly was last updated on March 14, 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.
# Alexandra Kelly · NPI 1194489914
Registered Nurse provider in St Louis Park, Minnesota. Individual provider, active in the CMS NPPES registry since October 27, 2021.
## Identity
- **NPI:** 1194489914 (Entity type: Individual)
- **Enumerated:** October 27, 2021
- **Primary specialty:** Registered Nurse · taxonomy 163W00000X
- **State license:** RN2274821 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6500 EXCELSIOR BLVD, St Louis Park, MN 55426-4700
- **Phone:** (952) 993-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** Park Nicollet Methodist Hospital (NPI 1083622047, St Louis Park, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** March 14, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1194489914) · Data from the CMS NPPES public registry.