CHRISTINE KELLEY P.A.
NPI 1578529889
Physician Assistant in Woodbury, MN
About Christine Kelley P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHRISTINE KELLEY P.A. (NPI 1578529889) is an individual physician assistant in Woodbury, Minnesota, licensed in Minnesota (9809) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (1993).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
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
Christine Kelley P.a. 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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55125 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
WOODBURY, MN 55125
WOODBURY, MN 55125
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 Christine Kelley's NPI number?
The NPI number for Christine Kelley is 1578529889. It was assigned to this individual provider in the NPPES registry on April 25, 2006.
Where is Christine Kelley located?
Christine Kelley practices at 217 Radio Dr, Woodbury, MN 55125. The listed phone number is (651) 702-0750.
What is Christine Kelley's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Christine Kelley enrolled in Medicare?
Yes. Christine Kelley 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 Christine Kelley accept?
Health plans from Anthem Blue Cross and Blue Shield and Medica list Christine Kelley 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.
When was this NPI record last updated?
The NPPES record for Christine Kelley was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Christine Kelley, P.A. · NPI 1578529889
Physician Assistant physician in Woodbury, Minnesota. Individual provider, active in the CMS NPPES registry since April 25, 2006.
## Identity
- **NPI:** 1578529889 (Entity type: Individual)
- **Enumerated:** April 25, 2006
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 9809 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 217 RADIO DR, Woodbury, MN 55125-5805
- **Phone:** (651) 702-0750 · **Fax:** (651) 645-6166
## 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 1993
## Record status
- **NPPES last updated:** November 20, 2025
- **Other identifiers:** Medicaid 355480500 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1578529889) · Data from the CMS NPPES public registry.