WESLEY KELLY
NPI 1588355457
Physician Assistant in Woodbury, MN

Q: What is Wesley Kelly's NPI number?

The NPI number for Wesley Kelly is 1588355457. It was assigned to this individual provider in the NPPES registry on May 19, 2023.

Q: What is Wesley Kelly's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Wesley Kelly was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since May 19, 2023PECOS EnrolledAccepts Medicare Assignment

2090 WOODWINDS DR, WOODBURY, MN 55125(651) 968-5201(651) 968-5903 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Wesley Kelly NPPES

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

WESLEY KELLY (NPI 1588355457) is an individual physician assistant in Woodbury, Minnesota and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview Woodwinds Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1588355457

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameWESLEY KELLY

Location Address2090 WOODWINDS DRWoodbury, MN 55125-2522

Mailing Address710 Commerce Dr Ste 200Woodbury, MN 55125-4925

Phone(651) 968-5201

Fax(651) 968-5903

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMay 19, 2023

Last NPPES UpdateOctober 23, 2025

NPPES CertifiedOctober 23, 2025

✔ NPI 1588355457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2090 WOODWINDS DR, Woodbury, MN 55125

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Accepted Insurance

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

Wesley Kelly 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 ID7214397090

PECOS Enrollment IDI20230712003693

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 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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

14 services11 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.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

M Health Fairview Woodwinds Hospital

Acute Care Hospitals · Woodbury, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240213

Location1925 Woodwinds DriveWoodbury, MN 55125 · Washington County

Emergency services Birthing friendly

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.

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

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

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 20

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

ABBY J ROSS PA-C

Physician Assistant (Surgical)