KALEY INGENITO PA-C
NPI 1427489772
Physician Assistant in Coon Rapids, MN

Q: What is Kaley Ingenito's NPI number?

The NPI number for Kaley Ingenito is 1427489772. It was assigned to this individual provider in the NPPES registry on December 11, 2013.

Q: What is Kaley Ingenito's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kaley Ingenito was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 December 11, 2013PECOS EnrolledAccepts Medicare Assignment

83.53/100

CMS Quality Rating

11850 BLACKFOOT ST NW STE 300, COON RAPIDS, MN 55433(763) 236-9236 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 11, 2021, Oct 25, 2018 (2 updates tracked since 2018).

On this page

About Kaley Ingenito Pa-c NPPES

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

KALEY INGENITO PA-C (NPI 1427489772) is an individual physician assistant in Coon Rapids, Minnesota, licensed in Illinois (085.004938) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital, and is a graduate of University Of South Alabama College Of Medicine (2013).

NPPES Registry Identity

NPI1427489772

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKALEY INGENITOCredential: PA-C

Location Address11850 BLACKFOOT ST NW STE 300Coon Rapids, MN 55433-2772

Mailing Address777 Park Ave WHighland Park, IL 60035-2433 · (847) 432-8000

Phone(763) 236-9236

Sole ProprietorNo

Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2013

Enumeration DateDecember 11, 2013

Last NPPES UpdateMarch 11, 20212 updates tracked since enumeration

NPPES CertifiedMarch 11, 2021

✔ NPI 1427489772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085.004938

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.

11850 BLACKFOOT ST NW STE 300, Coon Rapids, MN 55433

Open in Google Maps ↗

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

Kaley Ingenito 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 ID8325262470

PECOS Enrollment IDI20180705000222

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.

Mercy Hospital

Acute Care Hospitals · Coon Rapids, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240115

Location4050 Coon Rapids BlvdCoon Rapids, MN 55433 · Anoka County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55433 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.

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.

83.53/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.79

Promoting Interoperability

100

Improvement Activities

Cost

63.31

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.

CHELSIE NICOLE HORNER PA-C

Physician Assistant (Surgical)