SARAH KELLEY-PEGG NP
NPI 1780883256
Nurse Practitioner - Primary Care in Minneapolis, MN
About Sarah Kelley-pegg Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SARAH KELLEY-PEGG NP (NPI 1780883256) is an individual primary care provider in Minneapolis, Minnesota, licensed in Minnesota (0589) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Minneapolis, and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
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
Sarah Kelley-pegg Np 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 Sarah Kelley-pegg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Minneapolis, MN 55455
- Reassigned Medicare billing, Minnesota enrollment
- 15 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55455 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 55455
MINNEAPOLIS, MN 55455
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 Sarah Kelley-pegg's NPI number?
The NPI number for Sarah Kelley-pegg is 1780883256. It was assigned to this individual provider in the NPPES registry on July 16, 2007.
Where is Sarah Kelley-pegg located?
Sarah Kelley-pegg practices at 410 Church St SE, Minneapolis, MN 55455. The listed phone number is (612) 625-8400.
What is Sarah Kelley-pegg's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Sarah Kelley-pegg enrolled in Medicare?
Yes. Sarah Kelley-pegg 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 Sarah Kelley-pegg's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Kelley-pegg reassigns Medicare benefits to Regents Of The University Of Minnesota (Minneapolis, 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 Sarah Kelley-pegg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Sarah Kelley-pegg was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# Sarah Kelley-Pegg, NP · NPI 1780883256
Primary Care physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since July 16, 2007.
## Identity
- **NPI:** 1780883256 (Entity type: Individual)
- **Enumerated:** July 16, 2007
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 0589 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 410 CHURCH ST SE, Minneapolis, MN 55455-0222
- **Phone:** (612) 625-8400 · **Fax:** (612) 667-3211
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Regents Of The University Of Minnesota (NPI 1295948818, Minneapolis, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** December 30, 2025
- **Other identifiers:** Medicaid 337117000 (MN)
---
Source: [NPI Profile](https://npiprofile.com/npi/1780883256) · Data from the CMS NPPES public registry.