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KELLY A SPRAY CNP
NPI 1487095915
Nurse Practitioner - Family in Pequot Lakes, MN

Active since July 12, 2013PECOS EnrolledAccepts Medicare Assignment
4317 W WOODMAN ST, PEQUOT LAKES, MN 56472(218) 568-4416 Get Directions Write a Review

NPPES record last updated: January 15, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly A Spray Cnp NPPES

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

KELLY A SPRAY CNP (NPI 1487095915) is an individual family provider in Pequot Lakes, Minnesota, licensed in Minnesota (R194132-0) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Essentia Health St Joseph's Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1487095915
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY A SPRAYCredential: CNP
Location Address4317 W WOODMAN STPequot Lakes, MN 56472-3473
Mailing Address523 N 3rd StBrainerd, MN 56401-3054 · (218) 829-2861
Phone(218) 568-4416
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 12, 2013
Last NPPES UpdateJanuary 15, 2016
✔ NPI 1487095915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MN · R194132-0
4317 W WOODMAN ST, Pequot Lakes, MN 56472
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Accepted Insurance

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

Kelly A Spray Cnp 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 ID2264659036
PECOS Enrollment IDI20140819001507
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
120 services86 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
96 services70 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
46 services46 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
33 services27 patients

Hospital Affiliations CMS Care Compare

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

Essentia Health St Joseph's Medical Center

Acute Care Hospitals · Brainerd, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240075
Location523 North 3rd StreetBrainerd, MN 56401 · Crow Wing County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56472 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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAYDEN STRANGE
Physician Assistant
4317 W WOODMAN ST
PEQUOT LAKES, MN 56472
Crow Wing County (218) 568-4416
BRETT P NIENABER MD
Family Medicine
4317 W WOODMAN ST
PEQUOT LAKES, MN 56472
Crow Wing County (218) 568-4416
ST. JOSEPH'S MEDICAL CENTER
Clinic/Center (Primary Care)
4317 W WOODMAN ST
PEQUOT LAKES, MN 56472
Crow Wing County (218) 568-4416

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 Kelly Spray's NPI number?

The NPI number for Kelly Spray is 1487095915. It was assigned to this individual provider in the NPPES registry on July 12, 2013.

Where is Kelly Spray located?

Kelly Spray practices at 4317 W Woodman St, Pequot Lakes, MN 56472. The listed phone number is (218) 568-4416.

What is Kelly Spray's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelly Spray enrolled in Medicare?

Yes. Kelly Spray 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 Kelly Spray accept?

Health plans from Medica and Sanford Health Plan list Kelly Spray 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 Kelly Spray affiliated with any hospitals?

According to CMS data, Kelly Spray is affiliated with Essentia Health St Joseph's Medical Center.

When was this NPI record last updated?

The NPPES record for Kelly Spray was last updated on January 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.