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KATHLEEN ELIZABETH PENGELLY CNP
NPI 1760956668
Registered Nurse - Psychiatric/Mental Health, Adult in Saint Paul, MN

Active since January 15, 2019PECOS EnrolledAccepts Medicare Assignment
762 TRANSFER RD STE 21, SAINT PAUL, MN 55114(651) 659-2900(651) 645-7307 Get Directions Write a Review

NPPES record last updated: August 15, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 15, 2019, Jan 15, 2019 (2 updates tracked since 2019).

About Kathleen Elizabeth Pengelly Cnp NPPES

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

KATHLEEN ELIZABETH PENGELLY CNP (NPI 1760956668) is an individual psychiatric/mental health, adult provider in Saint Paul, Minnesota, licensed in Minnesota (138239-0) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1760956668
Entity TypeIndividualFemale
Primary Taxonomy163WP0809X
Provider Legal NameKATHLEEN ELIZABETH PENGELLYCredential: CNP
Location Address762 TRANSFER RD STE 21Saint Paul, MN 55114-1489
Mailing Address762 Transfer Rd Ste 21Saint Paul, MN 55114-1489 · (651) 955-3397 · Fax (651) 645-7307
Phone(651) 659-2900
Fax(651) 645-7307
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 15, 2019
Last NPPES UpdateAugust 15, 20192 updates tracked since enumeration
✔ NPI 1760956668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, AdultNursing Service Providers
Taxonomy Code163WP0809X
License✔ Licensed in MN · 138239-0
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 6667 (MN)
762 TRANSFER RD STE 21, Saint Paul, MN 55114
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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

Kathleen Elizabeth Pengelly Cnp 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 ID5193053411
PECOS Enrollment IDI20190826000339
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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
66 services12 patients

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.

YVETTE ANDERSON
Counselor (Professional)
762 TRANSFER RD STE 21
SAINT PAUL, MN 55114
Ramsey County (218) 355-8978
MEGAN JACOBS LICSW
Social Worker (Clinical)
762 TRANSFER RD STE 21
SAINT PAUL, MN 55114
Ramsey County (651) 659-2900
TARA AILEEN INVEEN LICSW
Social Worker (Clinical)
762 TRANSFER RD STE 21
SAINT PAUL, MN 55114
Ramsey County (651) 659-2900
MR. GARY O STEELE M.A. L.M.F.T
Counselor (Professional)
762 TRANSFER RD STE 21
SAINT PAUL, MN 55114
Ramsey County (651) 659-2936
EILEEN G ANDERSON LLC
Community/Behavioral Health
762 TRANSFER RD STE 21
SAINT PAUL, MN 55114
Ramsey County (651) 659-2900
MENTAL HEALTH RESOURCES, INC.
Community/Behavioral Health
762 TRANSFER RD STE 21
SAINT PAUL, MN 55114
Ramsey County (651) 659-2955
KRISTINA JACKSON LPCC
Counselor (Professional)
762 TRANSFER RD STE 21
SAINT PAUL, MN 55114
Ramsey County (763) 789-4895
MR. EVAN JOSEPH FLACK MA, LADC
Counselor (Addiction (Substance Use Disorder))
762 TRANSFER RD STE 21
SAINT PAUL, MN 55114
Ramsey County (651) 659-2900

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 Kathleen Pengelly's NPI number?

The NPI number for Kathleen Pengelly is 1760956668. It was assigned to this individual provider in the NPPES registry on January 15, 2019.

Where is Kathleen Pengelly located?

Kathleen Pengelly practices at 762 Transfer Rd Ste 21, Saint Paul, MN 55114. The listed phone number is (651) 659-2900.

What is Kathleen Pengelly's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 163WP0809X.

Is Kathleen Pengelly enrolled in Medicare?

Yes. Kathleen Pengelly 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 Kathleen Pengelly accept?

Health plans from HealthPartners list Kathleen Pengelly 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 Kathleen Pengelly was last updated on August 15, 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.