KELLIE KERSHISNIK MD
NPI 1629029566
Family Medicine in Lino Lakes, MN
About Kellie Kershisnik Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLIE KERSHISNIK MD (NPI 1629029566) is an individual family medicine provider in Lino Lakes, Minnesota, licensed in Minnesota (38004) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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 (PECOS)
Kellie Kershisnik Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55014 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.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kellie Kershisnik's NPI number?
The NPI number for Kellie Kershisnik is 1629029566. It was assigned to this individual provider in the NPPES registry on May 15, 2006.
Where is Kellie Kershisnik located?
Kellie Kershisnik practices at 7455 Village Dr, Lino Lakes, MN 55014. The listed phone number is (651) 717-3400.
What is Kellie Kershisnik's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kellie Kershisnik enrolled in Medicare?
Yes. Kellie Kershisnik is registered in the Medicare PECOS enrollment system.
What insurance does Kellie Kershisnik accept?
Health plans from Medica and Sanford Health Plan list Kellie Kershisnik 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 Kellie Kershisnik was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.
# Kellie Kershisnik, MD · NPI 1629029566
Family Medicine physician in Lino Lakes, Minnesota. Individual provider, active in the CMS NPPES registry since May 15, 2006.
## Identity
- **NPI:** 1629029566 (Entity type: Individual)
- **Enumerated:** May 15, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 38004 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 7455 VILLAGE DR, Lino Lakes, MN 55014-1181
- **Phone:** (651) 717-3400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** July 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1629029566) · Data from the CMS NPPES public registry.