CHRISTINA MARIE KELLY-JACKELS MSW, LICSW
NPI 1598096885
Social Worker - Clinical in Eden Prairie, MN
About Christina Marie Kelly-jackels Msw, Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHRISTINA MARIE KELLY-JACKELS MSW, LICSW (NPI 1598096885) is an individual clinical provider in Eden Prairie, Minnesota, licensed in Minnesota (18535) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Brooklyn Park, and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Christina Marie Kelly-jackels Msw, Licsw 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.
Medicare Billing Reassignment
Medicare enrollment records show Christina Kelly-jackels reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Park Nicollet Clinic
- 2,527 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 55344 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.
EDEN PRAIRIE, MN 55344
EDEN PRAIRIE, MN 55344
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 Christina Kelly-jackels's NPI number?
The NPI number for Christina Kelly-jackels is 1598096885. It was assigned to this individual provider in the NPPES registry on January 26, 2010.
Where is Christina Kelly-jackels located?
Christina Kelly-jackels practices at 8455 Flying Cloud Dr, Eden Prairie, MN 55344. The listed phone number is (952) 993-7400.
What is Christina Kelly-jackels's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Christina Kelly-jackels enrolled in Medicare?
Yes. Christina Kelly-jackels 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.
Which organization bills Medicare for Christina Kelly-jackels's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Christina Kelly-jackels reassigns Medicare benefits to Park Nicollet Methodist Hospital (St Louis Park, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Christina Kelly-jackels's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Christina Kelly-jackels was last updated on May 3, 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.
# Christina Marie Kelly-Jackels, MSW, LICSW · NPI 1598096885
Clinical provider in Eden Prairie, Minnesota. Individual provider, active in the CMS NPPES registry since January 26, 2010.
## Identity
- **NPI:** 1598096885 (Entity type: Individual)
- **Enumerated:** January 26, 2010
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 18535 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 8455 FLYING CLOUD DR, Eden Prairie, MN 55344-3974
- **Phone:** (952) 993-7400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Park Nicollet Methodist Hospital (NPI 1194113217, St Louis Park, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** May 3, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1598096885) · Data from the CMS NPPES public registry.