KELLY JO MCMARTIN LPCC
NPI 1700319977
Counselor - Professional in Coon Rapids, MN
About Kelly Jo Mcmartin Lpcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY JO MCMARTIN LPCC (NPI 1700319977) is an individual professional provider in Coon Rapids, Minnesota, licensed in Minnesota (CC01423) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
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
Kelly Jo Mcmartin Lpcc 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 Kelly Mcmartin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New Brighton, MN 55112
- Reassigned Medicare billing, Minnesota enrollment
- 794 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.
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.
MINNEAPOLIS, MN 55433
COON RAPIDS, MN 55433
COON RAPIDS, MN 55433
COON RAPIDS, MN 55433
COON RAPIDS, MN 55433
COON RAPIDS, MN 55433
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 Mcmartin's NPI number?
The NPI number for Kelly Mcmartin is 1700319977. It was assigned to this individual provider in the NPPES registry on April 5, 2017. The provider is also known as Kelly Jo Schultz.
Where is Kelly Mcmartin located?
Kelly Mcmartin practices at 3833 Coon Rapids Blvd NW Suite 120, Coon Rapids, MN 55433. The listed phone number is (763) 767-3350.
What is Kelly Mcmartin's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kelly Mcmartin enrolled in Medicare?
Yes. Kelly Mcmartin 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 Kelly Mcmartin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Mcmartin reassigns Medicare benefits to Nystrom & Associates, Ltd (New Brighton, 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 Kelly Mcmartin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Mcmartin accept?
Health plans from HealthPartners and Sanford Health Plan list Kelly Mcmartin 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 Mcmartin was last updated on April 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Kelly Jo Mcmartin, LPCC · NPI 1700319977
Professional provider in Coon Rapids, Minnesota. Individual provider, active in the CMS NPPES registry since April 5, 2017.
## Identity
- **NPI:** 1700319977 (Entity type: Individual)
- **Enumerated:** April 5, 2017
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** CC01423 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 3833 COON RAPIDS BLVD NW, SUITE 120, Coon Rapids, MN 55433-2643
- **Phone:** (763) 767-3350
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Nystrom & Associates, Ltd (NPI 1396750188, New Brighton, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** April 5, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1700319977) · Data from the CMS NPPES public registry.