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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. KELLEY RAE JEWETT MD
NPI 1396747788
Family Medicine in Saint Paul, MN

Active since August 15, 2005PECOS Enrolled
87.63/100
CMS Quality Rating
409 DUNLAP ST N, SAINT PAUL, MN 55104(651) 290-9200 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1396747788
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KELLEY RAE JEWETTCredential: MD
Location Address409 DUNLAP ST NSaint Paul, MN 55104-4201
Mailing Address3128 35th Ave SMinneapolis, MN 55406-2114 · (612) 729-5814
Phone(651) 290-9200
Sole ProprietorNo
Enumeration DateAugust 15, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1396747788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 36314
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
409 DUNLAP ST N, Saint Paul, MN 55104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelley Rae Jewett Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

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.

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.

87.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.78
Promoting Interoperability100
Improvement Activities40
Cost71.59

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.

MICHAEL R KAMP MD
Internal Medicine
409 DUNLAP ST N
SAINT PAUL, MN 55104
Ramsey County (651) 290-9200
CAROL THERSLEFF N.P.
Nurse Practitioner (Psychiatric/Mental Health)
409 DUNLAP ST N
SAINT PAUL, MN 55104
Ramsey County (651) 290-9200
BI EVELYN NGWA FNP, RN
Nurse Practitioner (Family)
409 DUNLAP ST N
SAINT PAUL, MN 55104
Ramsey County (651) 290-9200
LUCKY VANG
Advanced Practice Dental Therapist
409 DUNLAP ST N
SAINT PAUL, MN 55104
Ramsey County (651) 290-9200
DR. RYAN SEAN MOFFETT D.M.D.
Dentist
409 DUNLAP ST N
SAINT PAUL, MN 55104
Ramsey County (609) 420-3643
DR. LAURA WILD D.D.S.
Dentist (General Practice)
409 DUNLAP ST N
SAINT PAUL, MN 55104
Ramsey County (651) 290-9200
OPEN CITIES HEALTH CENTER, INC.
Social Worker (Clinical)
409 DUNLAP ST N
SAINT PAUL, MN 55104
Ramsey County (651) 290-9209
TODD ALAN VOLK DC
Chiropractor
409 DUNLAP ST N
SAINT PAUL, MN 55104
Ramsey County (651) 290-9200

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.

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 22 days 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.