KELLI JEAN PENROSE P.A., ATC
NPI 1740435551
Physician Assistant in Sartell, MN

Active since November 20, 2008PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
1901 CONNECTICUT AVE S, SARTELL, MN 56377(320) 259-4100(320) 259-8044 Get Directions Write a Review

NPPES record last updated: May 20, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 20, 2020, Jan 20, 2020 (2 updates tracked since 2020).

About Kelli Jean Penrose P.a., Atc NPPES

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

KELLI JEAN PENROSE P.A., ATC (NPI 1740435551) is an individual physician assistant in Sartell, Minnesota and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS, is affiliated with St Cloud Hospital, and maintains a secondary practice location in Saint Cloud.

NPPES Registry Identity

NPI1740435551
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLI JEAN PENROSECredential: P.A., ATC
Location Address1901 CONNECTICUT AVE SSartell, MN 56377-2554
Mailing Address1901 Connecticut Ave SSartell, MN 56377-2554 · (320) 259-4100 · Fax (320) 259-8044
Fax(320) 259-8044
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateNovember 20, 2008
Last NPPES UpdateMay 20, 20202 updates tracked since enumeration
NPPES CertifiedMay 20, 2020
NPI 1740435551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
1901 CONNECTICUT AVE S, Sartell, MN 56377

Secondary Practice Location 1

Location 13315 Roosevelt Rd Ste 200BSaint Cloud, MN 56301-9687 · Phone (320) 259-4100

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 and accepts Medicare assignment

Kelli Jean Penrose P.a., Atc 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 ID5395892806
PECOS Enrollment IDI20090420000322
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 5

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.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
38 services35 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.
36 services34 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
30 services24 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
16 services15 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
14 services12 patients

Hospital Affiliations CMS Care Compare

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

St Cloud Hospital

Acute Care Hospitals · Saint Cloud, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240036
Location1406 6th Ave NorthSaint Cloud, MN 56303 · Stearns County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56377 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.

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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.23
Promoting Interoperability91
Improvement Activities40
Cost82.88

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.

Physician Assistant
1901 CONNECTICUT AVE S
SARTELL, MN 56377
Orthopaedic Surgery
1901 CONNECTICUT AVE S
SARTELL, MN 56377
Orthopaedic Surgery
1901 CONNECTICUT AVE S
SARTELL, MN 56377
Orthopaedic Surgery
1901 CONNECTICUT AVE S
SARTELL, MN 56377
Orthopaedic Surgery
1901 CONNECTICUT AVE S
SARTELL, MN 56377
Orthopaedic Surgery
1901 CONNECTICUT AVE S
SARTELL, MN 56377
Podiatrist (Foot & Ankle Surgery)
1901 CONNECTICUT AVE S
SARTELL, MN 56377
Specialist/Technologist (Athletic Trainer)
1901 CONNECTICUT AVE S
SARTELL, MN 56377

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 Kelli Penrose's NPI number?

The NPI number for Kelli Penrose is 1740435551. It was assigned to this individual provider in the NPPES registry on November 20, 2008.

Where is Kelli Penrose located?

Kelli Penrose practices at 1901 Connecticut Ave S, Sartell, MN 56377. The listed phone number is (320) 259-4100.

What is Kelli Penrose's specialty?

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

Is Kelli Penrose enrolled in Medicare?

Yes. Kelli Penrose 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 Kelli Penrose accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Kelli Penrose 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.

Is Kelli Penrose affiliated with any hospitals?

According to CMS data, Kelli Penrose is affiliated with St Cloud Hospital.

When was this NPI record last updated?

The NPPES record for Kelli Penrose was last updated on May 20, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.