AMY ELIZABETH KELLY MD NPI 1437135936

Obstetrics & Gynecology in Maplewood, MN

Individual Female Obstetrics & Gynecology PECOS Enrolled Accepts Medicare Years Experience 22

About AMY KELLY

Amy Kelly is a provider established in Maplewood, Minnesota and her medical specialization is obstetrics & gynecology with more than 22 years of experience. The NPI number of Amy Kelly is 1437135936 and was assigned on December 2005. The practitioner's primary taxonomy code is 207V00000X with license number 46573 (MN). The provider is registered as an individual and her NPI record was last updated 13 years ago. Amy Kelly is enrolled in PECOS and is registered with Medicare and accepts claims assignment.

NPI

1437135936

Provider Name AMY ELIZABETH KELLY MD
Provider Location Address1655 BEAM AVE NUMBER 102 MAPLEWOOD, MN 55109
Provider Mailing Address17 EXCHANGE ST W NUMBER 622 SAINT PAUL, MN 55102
GenderFemale
NPI Entity TypeIndividual
Medical School NameCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year1999
Is Sole Proprietor?N/A
Is Organization Subpart?N/A
Enumeration Date12-16-2005
Last Update Date07-08-2007

Primary Taxonomy

Taxonomy Code207V00000X
ClassificationObstetrics & Gynecology
TypeAllopathic & Osteopathic Physicians
License No.46573
License StateMN
Taxonomy DescriptionAn obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Business Address

AMY ELIZABETH KELLY MD
1655 BEAM AVE
NUMBER 102
MAPLEWOOD, MN
ZIP 55109
Phone: (651) 770-1385
Fax: (651) 770-0672

Get Directions

Mailing Address

AMY ELIZABETH KELLY MD
17 EXCHANGE ST W
NUMBER 622
SAINT PAUL, MN
ZIP 55102
Phone: (651) 227-9141
Fax: (651) 265-6772

Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare’s enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID244221737
PECOS Enrollment IDI20040522000256
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
Part B Clinical Laboratory and ImagingYes
Durable Medical EquipmentYes
Home Health Agency (HHA)Yes
Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 19Urinalysis, manual test (HCPCS:81002)
  • 14Ultrasound pelvis through vagina (HCPCS:76830)

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
826SOKEOTHER (01)
960981041136OTHER (01)
HP42083OTHER (01)
2130657OTHER (01)
34495100OTHER (01)
I03749MEDICARE UPIN (02)
0703794OTHER (01)
0703794OTHER (01)
960981041136OTHER (01)
960981041136OTHER (01)
0703794OTHER (01)
P00199150OTHER (01)

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1083677827 NANCY R ANDERSON CPNP
Individual
Nurse Practitioner (Pediatrics)1655 BEAM AVE SUITE 302
MAPLEWOOD, MN 55109
(651) 232-7800
1093814089 MARY L HASECUSTER CRNA
Individual
Nurse Anesthetist, Certified Registered1655 BEAM AVE
MAPLEWOOD, MN 55109
(651) 735-0501
1134180375 RACHEL A BYE MD
Individual
Pediatrics1655 BEAM AVE SUITE 302
MAPLEWOOD, MN 55109
(651) 232-7800
1144217399 AARON KURTISS KIRKEMO M.D.
Individual
Urology1655 BEAM AVE SUITE 206
MAPLEWOOD, MN 55109
(651) 999-6896
1144326943 VIRGINIA L REUTIMAN CRNA
Individual
Nurse Anesthetist, Certified Registered1655 BEAM AVE
SAINT PAUL, MN 55109
(651) 735-0501
1164490868 CATHERINE M OMAN NNP
Individual
Nurse Practitioner (Neonatal)1655 BEAM AVE SUITE 302
MAPLEWOOD, MN 55109
(651) 232-7831
1184686818 SARAH O COLWELL MD
Individual
Pediatrics1655 BEAM AVE SUITE 202
MAPLEWOOD, MN 55109
(651) 232-7800
1306805312 RHONDA S FENDER NNP
Individual
Nurse Practitioner (Neonatal)1655 BEAM AVE SUITE 302
MAPLEWOOD, MN 55109
(651) 232-7031
1346209343 DEBRA ANN GUTZMAN NNP
Individual
Nurse Practitioner (Neonatal)1655 BEAM AVE SUITE 302
MAPLEWOOD, MN 55109
(651) 232-7031
1447213350 SUSAN LEE NNP
Individual
Nurse Practitioner (Neonatal)1655 BEAM AVE SUITE 302
MAPLEWOOD, MN 55109
(651) 232-7831
1548221146 JOHN F KELLY MD
Individual
Pediatrics1655 BEAM AVE SUITE 302
MAPLEWOOD, MN 55109
(651) 232-7800
1598725624 TERRI L NAROW NNP
Individual
Nurse Practitioner (Neonatal)1655 BEAM AVE SUITE 302
MAPLEWOOD, MN 55109
(651) 232-7031
1598733206 SANDRA ELAINE GERBER NNP
Individual
Nurse Practitioner (Neonatal)1655 BEAM AVE SUITE 302
MAPLEWOOD, MN 55109
(651) 232-7831
1609844315 SHARON P ROZNICK NNP
Individual
Nurse Practitioner (Neonatal)1655 BEAM AVE SUITE 302
MAPLEWOOD, MN 55109
(651) 232-7831
1639278625 JULIE A JOHNSON CRNA
Individual
Nurse Anesthetist, Certified Registered1655 BEAM AVE
MAPLEWOOD, MN 55109
(651) 735-0501
1649248352 JOELLE I KNOPF NNP
Individual
Nurse Practitioner (Neonatal)1655 BEAM AVE SUITE 302
MAPLEWOOD, MN 55109
(651) 232-7831
1730141946 JILL E PAGENKOPF NNP
Individual
Nurse Practitioner (Neonatal)1655 BEAM AVE SUITE 302
MAPLEWOOD, MN 55109
(651) 232-7831
1891753828 NANCY C GRANDT CNP
Individual
Nurse Practitioner1655 BEAM AVE SUITE 202
MAPLEWOOD, MN 55109
(651) 232-7800
1942262670 JAMES L PRALL MD
Individual
Pediatrics1655 BEAM AVE SUITE 302
MAPLEWOOD, MN 55109
(651) 232-7800
1962470302 JAMES R SNYDER PA
Individual
Physician Assistant1655 BEAM AVE SUITE 302
MAPLEWOOD, MN 55109
(651) 232-7831

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.