SUSAN LEE KISSELL RN, CNP
NPI 1245249259
Nurse Practitioner - Gerontology in Minnetonka, MN

Q: What is Susan Kissell's NPI number?

The NPI number for Susan Kissell is 1245249259. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Q: What is Susan Kissell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Susan Kissell was last updated on September 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since August 07, 2006

401 CARLSON PARKWAY, MINNETONKA, MN 55305(952) 992-3612 Get Directions Write a Review

NPPES record last updated: September 2, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Susan Lee Kissell Rn, Cnp NPPES

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

SUSAN LEE KISSELL RN, CNP (NPI 1245249259) is an individual gerontology provider in Minnetonka, Minnesota, licensed in Minnesota (R0665283) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1245249259

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameSUSAN LEE KISSELLCredential: RN, CNP

Location Address401 CARLSON PARKWAYMinnetonka, MN 55305-5387

Mailing Address5510 Mount Normandale CurvBloomington, MN 55437-1022

Phone(952) 992-3612

Sole ProprietorYes

Enumeration DateAugust 7, 2006

Last NPPES UpdateSeptember 2, 2011

✔ NPI 1245249259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in MN · R0665283

401 CARLSON PARKWAY, Minnetonka, MN 55305

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Other Identifiers 3

Medicare UPINP47205MN

Medicare ID-Type Unspecified500002370MN

Medicaid1145878-00MN

Other Providers at the Same Location NPPES 3

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

MRS. BEVERLY LYNN WOODBURY RN, CNP

Nurse Practitioner (Gerontology)

401 CARLSON PARKWAY
MINNETONKA, MN 55305

Hennepin County (952) 992-3637

MARY JEANNE KEITH RN, CNP

Nurse Practitioner (Gerontology)

401 CARLSON PARKWAY, CP340
MINNETONKA, MN 55305

Hennepin County (952) 992-3604

KJIRSTEN PEARSON PHARM D., RPH

Pharmacist

401 CARLSON PARKWAY, CP 474
MINNNETONKA, MN 55305

Hennepin County (952) 992-3475

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 Susan Kissell's NPI number?

The NPI number for Susan Kissell is 1245249259. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Where is Susan Kissell located?

Susan Kissell practices at 401 Carlson Parkway, Minnetonka, MN 55305. The listed phone number is (952) 992-3612.

What is Susan Kissell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Susan Kissell was last updated on September 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.