KELLY L DZIEDZIC PA-C
NPI 1568437879
Physician Assistant in Burnsville, MN
About Kelly L Dziedzic Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY L DZIEDZIC PA-C (NPI 1568437879) is an individual physician assistant in Burnsville, Minnesota, licensed in Minnesota (9792) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview Southdale Hospital, and maintains a secondary practice location in Woodbury.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted 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 L Dziedzic 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
M Health Fairview Southdale Hospital
Acute Care Hospitals · Edina, MNM Health Fairview Ridges Hospital
Acute Care Hospitals · Burnsville, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55337 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BURNSVILLE, MN 55337
BURNSVILLE, MN 55337
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 Dziedzic's NPI number?
The NPI number for Kelly Dziedzic is 1568437879. It was assigned to this individual provider in the NPPES registry on February 21, 2006.
Where is Kelly Dziedzic located?
Kelly Dziedzic practices at 1000 W 140th St Unit 201, Burnsville, MN 55337. The listed phone number is (952) 808-3000.
What is Kelly Dziedzic's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Kelly Dziedzic enrolled in Medicare?
Yes. Kelly Dziedzic 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 Dziedzic accept?
Health plans from HealthPartners and Medica list Kelly Dziedzic 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 Dziedzic affiliated with any hospitals?
According to CMS data, Kelly Dziedzic is affiliated with M Health Fairview Southdale Hospital and M Health Fairview Ridges Hospital.
When was this NPI record last updated?
The NPPES record for Kelly Dziedzic was last updated on January 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Kelly L Dziedzic, PA-C · NPI 1568437879
Physician Assistant physician in Burnsville, Minnesota. Individual provider, active in the CMS NPPES registry since February 21, 2006.
## Identity
- **NPI:** 1568437879 (Entity type: Individual)
- **Enumerated:** February 21, 2006
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 9792 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 W 140TH ST UNIT 201, Burnsville, MN 55337-4833
- **Phone:** (952) 808-3000 · **Fax:** (952) 808-3001
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** January 2, 2019
- **Other identifiers:** Medicaid 205559700 (MN)
---
Source: [NPI Profile](https://npiprofile.com/npi/1568437879) · Data from the CMS NPPES public registry.