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KELLY FIDER PA-C
NPI 1598768434
Physician Assistant in Minneapolis, MN

Active since May 24, 2005PECOS EnrolledAccepts Medicare Assignment
8100 NORTHLAND DR, MINNEAPOLIS, MN 55431(952) 831-8742(952) 831-1626 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Fider Pa-c NPPES

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

KELLY FIDER PA-C (NPI 1598768434) is an individual physician assistant in Minneapolis, Minnesota, licensed in Minnesota (9594) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1598768434
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY FIDERCredential: PA-C
Location Address8100 NORTHLAND DRMinneapolis, MN 55431-4800
Mailing Address6465 Wayzata Blvd, Suite 315St Louis Park, MN 55426-1728
Phone(952) 831-8742
Fax(952) 831-1626
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMay 24, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1598768434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MN · 9594
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.
8100 NORTHLAND DR, Minneapolis, MN 55431
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Other Identifiers 1

Medicare UPINP26921MN

Accepted Insurance

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

PECOS PAC ID3173575933
PECOS Enrollment IDI20050221000288
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55431 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.

NICOLE BREUER ATC
Specialist/Technologist (Athletic Trainer)
8100 NORTHLAND DR
BLOOMINGTON, MN 55431
Hennepin County (952) 831-8742
KIM M WATERBURY MS, OTRL, CHT
Occupational Therapist
8100 NORTHLAND DR
BLOOMINGTON, MN 55431
Hennepin County (952) 831-8742
JOSHUA VEENSTRA MD
Orthopaedic Surgery
8100 NORTHLAND DR
BLOOMINGTON, MN 55431
Hennepin County (952) 831-8742
MS. NANCY J CALLINAN OT
Occupational Therapist (Hand)
8100 NORTHLAND DR
BLOOMINGTON, MN 55431
Hennepin County (952) 831-8742
KELSEY GLEICH ATC
Specialist/Technologist (Athletic Trainer)
8100 NORTHLAND DR
BLOOMINGTON, MN 55431
Hennepin County (952) 831-8742
TRIA ORTHOPAEDIC CENTER LLC
Clinic/Center (Ambulatory Surgical)
8100 NORTHLAND DR
MINNEAPOLIS, MN 55431
Hennepin County (952) 831-8742
CHRISTOPHER M. WALKER ATC
Specialist/Technologist (Athletic Trainer)
8100 NORTHLAND DR
BLOOMINGTON, MN 55431
Hennepin County (952) 806-5745
GARRISON GLENN RICE DO
Family Medicine (Sports Medicine)
8100 NORTHLAND DR
BLOOMINGTON, MN 55431
Hennepin County (952) 831-8742

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 Fider's NPI number?

The NPI number for Kelly Fider is 1598768434. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Kelly Fider located?

Kelly Fider practices at 8100 Northland Dr, Minneapolis, MN 55431. The listed phone number is (952) 831-8742.

What is Kelly Fider's specialty?

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

Is Kelly Fider enrolled in Medicare?

Yes. Kelly Fider 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 Fider accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Kelly Fider 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 Kelly Fider was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.