ELLEN VIRGINIA KEARNEY
NPI 1205689239
Nurse Practitioner - Family in Arden Hills, MN

Active since April 09, 2024PECOS EnrolledAccepts Medicare Assignment
3930 NORTHWOODS DR, ARDEN HILLS, MN 55112(952) 853-8800 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 12, 2024, Apr 9, 2024 (2 updates tracked since 2024).

About Ellen Virginia Kearney NPPES

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

ELLEN VIRGINIA KEARNEY (NPI 1205689239) is an individual family provider in Arden Hills, Minnesota, licensed in Minnesota (11182) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Paul, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1205689239
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELLEN VIRGINIA KEARNEY
Location Address3930 NORTHWOODS DRArden Hills, MN 55112-6963
Mailing Address668 Cherokee AveSaint Paul, MN 55107-2509 · (952) 270-8956
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateApril 9, 2024
Last NPPES UpdateAugust 12, 20242 updates tracked since enumeration
NPPES CertifiedAugust 12, 2024
NPI 1205689239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MN · 11182
3930 NORTHWOODS DR, Arden Hills, MN 55112

Secondary Practice Location 1

Location 1640 Jackson StSaint Paul, MN 55101-2595 · Phone (651) 254-3456

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

Ellen Virginia Kearney 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 ID1557802600
PECOS Enrollment IDI20240917002983
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

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.

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.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55112 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.

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.

Chiropractor
3930 NORTHWOODS DR
ARDEN HILLS, MN 55112
Physician Assistant
3930 NORTHWOODS DR, MAIL STOP 32800A
ARDEN HILLS, MN 55112
Dietitian, Registered
3930 NORTHWOODS DR
ARDEN HILLS, MN 55112
Chiropractor
3930 NORTHWOODS DR
ARDEN HILLS, MN 55112
Family Medicine
3930 NORTHWOODS DR
ARDEN HILLS, MN 55112
Dentist (General Practice)
3930 NORTHWOODS DR
ARDEN HILLS, MN 55112
Pediatrics
3930 NORTHWOODS DR, MAIL STOP 32800A
ARDEN HILLS, MN 55112
Dentist (General Practice)
3930 NORTHWOODS DR
ARDEN HILLS, MN 55112

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 Ellen Kearney's NPI number?

The NPI number for Ellen Kearney is 1205689239. It was assigned to this individual provider in the NPPES registry on April 9, 2024.

Where is Ellen Kearney located?

Ellen Kearney practices at 3930 Northwoods Dr, Arden Hills, MN 55112. The listed phone number is (952) 853-8800.

What is Ellen Kearney's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ellen Kearney enrolled in Medicare?

Yes. Ellen Kearney 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 Ellen Kearney accept?

Health plans from Medica list Ellen Kearney 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 Ellen Kearney was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.