DR. KELLEY RAE JEWETT MD
NPI 1396747788
Family Medicine in Saint Paul, MN
About Dr. Kelley Rae Jewett Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KELLEY RAE JEWETT MD (NPI 1396747788) is an individual family medicine provider in Saint Paul, Minnesota, licensed in Minnesota (36314) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kelley Rae Jewett Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelley Jewett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 2,361 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
SAINT PAUL, MN 55104
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 Kelley Jewett's NPI number?
The NPI number for Kelley Jewett is 1396747788. It was assigned to this individual provider in the NPPES registry on August 15, 2005.
Where is Kelley Jewett located?
Kelley Jewett practices at 409 Dunlap St N, Saint Paul, MN 55104. The listed phone number is (651) 290-9200.
What is Kelley Jewett's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kelley Jewett enrolled in Medicare?
Yes. Kelley Jewett is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelley Jewett's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Jewett reassigns Medicare benefits to Healtheast Medical Research Institute (Saint Paul, MN). The 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 Kelley Jewett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kelley Jewett was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Kelley Rae Jewett, MD · NPI 1396747788
Family Medicine physician in Saint Paul, Minnesota. Individual provider, active in the CMS NPPES registry since August 15, 2005.
## Identity
- **NPI:** 1396747788 (Entity type: Individual)
- **Enumerated:** August 15, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 36314 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 409 DUNLAP ST N, Saint Paul, MN 55104-4201
- **Phone:** (651) 290-9200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Healtheast Medical Research Institute (NPI 1184670044, Saint Paul, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1396747788) · Data from the CMS NPPES public registry.