Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELSI SARBACKER
NPI 1205564689
Nurse Anesthetist, Certified Registered in Saint Paul, MN

Active since August 12, 2022PECOS EnrolledAccepts Medicare Assignment
640 JACKSON ST, SAINT PAUL, MN 55101(651) 254-3456 Get Directions Write a Review

NPPES record last updated: September 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 21, 2026, Jan 10, 2023, Aug 12, 2022 (3 updates tracked since 2022).

About Kelsi Sarbacker NPPES

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

KELSI SARBACKER (NPI 1205564689) is an individual nurse anesthetist, certified registered in Saint Paul, Minnesota, licensed in Minnesota (2752) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Regions Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1205564689
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameKELSI SARBACKER
Location Address640 JACKSON STSaint Paul, MN 55101-2595
Mailing Address8170 33rd Ave S, Mailstop 21110qBloomington, MN 55425-4516 · (952) 883-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 12, 2022
Last NPPES UpdateSeptember 21, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2026
✔ NPI 1205564689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MN · 2752
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 2356723 (MN)
640 JACKSON ST, Saint Paul, MN 55101

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

Kelsi Sarbacker 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 ID4880064583
PECOS Enrollment IDI20221221000200
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 Reassignments

4

Medicare enrollment records show Kelsi Sarbacker reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Emergency Medicine
640 JACKSON ST
Saint Paul, MN 55101
  • Reassigned Medicare billing, Minnesota enrollment
  • 393 clinicians in this Medicare group
Anesthesiology
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 681 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
2622 132ND AVE NE
Blaine, MN 55449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 20 clinicians in this Medicare group
Critical Access
235 STATE ST
Saint Croix Falls, WI 54024
  • Reassigned Medicare billing, Wisconsin enrollment
  • 453 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.

Regions Hospital

Acute Care Hospitals · Saint Paul, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240106
Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55101 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Nurse Anesthetist, Certified Registered
640 JACKSON ST
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Nurse Anesthetist, Certified Registered
640 JACKSON ST
SAINT PAUL, MN 55101
Orthopaedic Surgery
640 JACKSON ST
SAINT PAUL, MN 55101
Nurse Anesthetist, Certified Registered
640 JACKSON ST, MAIL STOP 11503P
ST PAUL, MN 55101
Pathology (Anatomic Pathology & Clinical Pathology)
640 JACKSON ST, MC 11103E
ST PAUL, MN 55101

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 Kelsi Sarbacker's NPI number?

The NPI number for Kelsi Sarbacker is 1205564689. It was assigned to this individual provider in the NPPES registry on August 12, 2022.

Where is Kelsi Sarbacker located?

Kelsi Sarbacker practices at 640 Jackson St, Saint Paul, MN 55101. The listed phone number is (651) 254-3456.

What is Kelsi Sarbacker's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Kelsi Sarbacker enrolled in Medicare?

Yes. Kelsi Sarbacker 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 organizations bill Medicare for Kelsi Sarbacker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsi Sarbacker reassigns Medicare benefits to 4 organizations: Regions Hospital (Saint Paul, MN), University Anesthesia Providers, LLC (Minneapolis, MN), Twin Anesthesia LLC (Blaine, MN) and St. Croix Regional Medical Center (Saint Croix Falls, WI). Each 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 Kelsi Sarbacker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kelsi Sarbacker affiliated with any hospitals?

According to CMS data, Kelsi Sarbacker is affiliated with Regions Hospital.

When was this NPI record last updated?

The NPPES record for Kelsi Sarbacker was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.