KELLY MICHAEL TAYLOR CNP
NPI 1295289064
Nurse Practitioner - Family in St Louis Park, MN
About Kelly Michael Taylor Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY MICHAEL TAYLOR CNP (NPI 1295289064) is an individual family provider in St Louis Park, Minnesota, licensed in Minnesota (CNP 4805) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS, is affiliated with Hennepin County Medical Center, and maintains a secondary practice location in Fairmont.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 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
Kelly Michael Taylor Cnp 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 Reassignments
9Medicare enrollment records show Kelly Taylor reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Park Nicollet Clinic
- 2,527 clinicians in this Medicare group
Edina, MN 55436
- Reassigned Medicare billing, Minnesota enrollment
- 2,609 clinicians in this Medicare group
Minneapolis, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- 2,302 clinicians in this Medicare group
Edina, MN 55435
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Edina, MN 55435
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Minneapolis, MN 55408
- Reassigned Medicare billing, Minnesota enrollment
- 192 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 2,361 clinicians in this Medicare group
Chanhassen, MN 55317
- Reassigned Medicare billing, Minnesota enrollment
- 581 clinicians in this Medicare group
Shakopee, MN 55379
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Suburban Emergency Associates PA
- 37 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hennepin County Medical Center
Acute Care Hospitals · Minneapolis, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55426 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Kelly Taylor's NPI number?
The NPI number for Kelly Taylor is 1295289064. It was assigned to this individual provider in the NPPES registry on August 10, 2016.
Where is Kelly Taylor located?
Kelly Taylor practices at 6500 Excelsior Blvd, St Louis Park, MN 55426. The listed phone number is (952) 993-5000.
What is Kelly Taylor's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelly Taylor enrolled in Medicare?
Yes. Kelly Taylor 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 Kelly Taylor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Taylor reassigns Medicare benefits to 9 organizations: Park Nicollet Methodist Hospital (St Louis Park, MN), Allina Health System (Edina, MN), Fairview Clinics (Minneapolis, MN), Fairview Express Care (Edina, MN), Fairview Health Services (Edina, MN) and 4 more organizations, listed in the Medicare section above. 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 Kelly Taylor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kelly Taylor affiliated with any hospitals?
According to CMS data, Kelly Taylor is affiliated with Hennepin County Medical Center.
When was this NPI record last updated?
The NPPES record for Kelly Taylor was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kelly Michael Taylor, CNP · NPI 1295289064
Family physician in St Louis Park, Minnesota. Individual provider, active in the CMS NPPES registry since August 10, 2016.
## Identity
- **NPI:** 1295289064 (Entity type: Individual)
- **Enumerated:** August 10, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** CNP 4805 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 6500 EXCELSIOR BLVD, St Louis Park, MN 55426-4702
- **Phone:** (952) 993-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Park Nicollet Methodist Hospital (NPI 1194113217, St Louis Park, MN); Allina Health System (NPI 1720339716, Edina, MN); Fairview Clinics (NPI 1447442132, Minneapolis, MN); Fairview Express Care (NPI 1538542204, Edina, MN); Fairview Health Services (NPI 1699752915, Edina, MN); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** October 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1295289064) · Data from the CMS NPPES public registry.