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KELLY RAE NORMAN CNP
NPI 1497461990
Nurse Practitioner - Psychiatric/Mental Health in Saint Cloud, MN

Active since January 27, 2023
4801 VETERANS DR, SAINT CLOUD, MN 56303(320) 252-1670 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 15, 2025, Jan 27, 2023 (2 updates tracked since 2023).

About Kelly Rae Norman Cnp NPPES

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

KELLY RAE NORMAN CNP (NPI 1497461990) is an individual psychiatric/mental health provider in Saint Cloud, Minnesota, licensed in Minnesota (9891) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1497461990
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKELLY RAE NORMANCredential: CNP
Location Address4801 VETERANS DRSaint Cloud, MN 56303-2015
Mailing Address4801 Veterans DrSaint Cloud, MN 56303-2015 · (320) 252-1670
Phone(320) 252-1670
Sole ProprietorNo
Enumeration DateJanuary 27, 2023
Last NPPES UpdateSeptember 15, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2025
✔ NPI 1497461990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MN · 9891
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 302580 (MN)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 9891 (MN)
4801 VETERANS DR, Saint Cloud, MN 56303
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Other Names 1

Former Name (1)Kelly Rae Northway

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.

PATRICIA ANN MEYER LICSW
Social Worker (Clinical)
4801 VETERANS DR
SAINT CLOUD, MN 56303
Stearns County (320) 252-1670
MRS. ANDREA DIXON PHARMD
Pharmacist
4801 VETERANS DR
SAINT CLOUD, MN 56303
Stearns County (320) 252-1670
NICOLE WILLIS
Occupational Therapy Assistant
4801 VETERANS DR
SAINT CLOUD, MN 56303
Stearns County (320) 252-1670
ERIN MAE BRUNTLETT
Specialist/Technologist (Rehabilitation, Blind)
4801 VETERANS DR
SAINT CLOUD, MN 56303
Stearns County (320) 252-1670
HEIDE COUNTER
Licensed Practical Nurse
4801 VETERANS DR
SAINT CLOUD, MN 56303
Stearns County (320) 255-6393
MORIAH ROSE LELOU
Licensed Practical Nurse
4801 VETERANS DR
SAINT CLOUD, MN 56303
Stearns County (320) 252-1670
SARA BUKOWSKI
Health and Wellness Coach
4801 VETERANS DR
SAINT CLOUD, MN 56303
Stearns County (320) 252-1670
CARRIE ANNE MACIEJ RN
Registered Nurse
4801 VETERANS DR
SAINT CLOUD, MN 56303
Stearns County (320) 252-1670

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 Norman's NPI number?

The NPI number for Kelly Norman is 1497461990. It was assigned to this individual provider in the NPPES registry on January 27, 2023. The provider is also known as Kelly Rae Northway.

Where is Kelly Norman located?

Kelly Norman practices at 4801 Veterans Dr, Saint Cloud, MN 56303. The listed phone number is (320) 252-1670.

What is Kelly Norman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Kelly Norman was last updated on September 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.