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KALLI ANN SHADES PA-C
NPI 1356790273
Physician Assistant in Minneapolis, MN

Active since June 10, 2016PECOS EnrolledAccepts Medicare Assignment
909 FULTON ST SE, MINNEAPOLIS, MN 55455(612) 273-9400(612) 273-9400 Get Directions Write a Review

NPPES record last updated: September 11, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kalli Ann Shades Pa-c NPPES

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

KALLI ANN SHADES PA-C (NPI 1356790273) is an individual physician assistant in Minneapolis, Minnesota and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with University Medical Center-mesabi/ Mesaba Clinics, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1356790273
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKALLI ANN SHADESCredential: PA-C
Location Address909 FULTON ST SEMinneapolis, MN 55455-4800
Mailing Address909 Fulton St SeMinneapolis, MN 55455-4800
Phone(612) 273-9400
Fax(612) 273-9400
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 10, 2016
Last NPPES UpdateSeptember 11, 2016
✔ NPI 1356790273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
909 FULTON ST SE, Minneapolis, MN 55455
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.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

Kalli Ann Shades Pa-c 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 ID7416235551
PECOS Enrollment IDI20161025001492
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Medical Center-Mesabi/ Mesaba Clinics

Acute Care Hospitals · Hibbing, MN
OwnershipVoluntary non-profit - Other
CMS Certification Number240040
Location750 East 34th StHibbing, MN 55746 · St. Louis County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55455 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
$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.

DR. RONALD ALEXANDER REILKOFF M.D.
Internal Medicine (Pulmonary Disease)
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 672-7422
EUGENIA SHMIDT MD
Internal Medicine (Gastroenterology)
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Hennepin County (507) 284-2511
DR. ROBERT ALLEN MCGOVERN III M.D.
Neurological Surgery
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 672-7422
KIMBERLY EHLERT PHARMD, RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
909 FULTON ST SE, 3RD FLOOR, CLINIC AND SURGERY CENTER
MINNEAPOLIS, MN 55455
Hennepin County (612) 672-5341
NUTTAVUT SUMRANSUB M.D.
Internal Medicine (Hematology & Oncology)
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 672-7422
UNIVERSITY OF MINNESOTA HEALTH CLINICS AND SURGERY CENTER INC
Anesthesiology
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 273-8383
MARY MELTON PHD
Psychologist (Clinical)
909 FULTON ST SE, BUILDING 2
MINNEAPOLIS, MN 55455
Hennepin County (612) 672-7422
DR. BRITTANI LAUREN CONWAY M.D.
Psychiatry & Neurology (Neurology)
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Hennepin County (651) 226-2890

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 Kalli Shades's NPI number?

The NPI number for Kalli Shades is 1356790273. It was assigned to this individual provider in the NPPES registry on June 10, 2016.

Where is Kalli Shades located?

Kalli Shades practices at 909 Fulton St SE, Minneapolis, MN 55455. The listed phone number is (612) 273-9400.

What is Kalli Shades's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kalli Shades enrolled in Medicare?

Yes. Kalli Shades 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 Kalli Shades accept?

Health plans from HealthPartners and Medica list Kalli Shades 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.

Is Kalli Shades affiliated with any hospitals?

According to CMS data, Kalli Shades is affiliated with University Medical Center-Mesabi/ Mesaba Clinics.

When was this NPI record last updated?

The NPPES record for Kalli Shades was last updated on September 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.