KELLY VAN DYKE
NPI 1811442205
Physician Assistant in Roseville, MN

Active since August 16, 2016PECOS EnrolledAccepts Medicare Assignment
2720 FAIRVIEW AVE N STE 100, ROSEVILLE, MN 55113(651) 241-5290(651) 241-5248 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 13, 2022, Aug 16, 2016 (2 updates tracked since 2016).

About Kelly Van Dyke NPPES

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

KELLY VAN DYKE (NPI 1811442205) is an individual physician assistant in Roseville, Minnesota, licensed in Minnesota (2545) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and is a graduate of University Of Wisconsin School Of Medicine (2016).

NPPES Registry Identity

NPI1811442205
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY VAN DYKE
Location Address2720 FAIRVIEW AVE N STE 100Roseville, MN 55113-1306
Mailing Address2720 Fairview Ave N Ste 100Roseville, MN 55113-1306 · (651) 241-5290
Fax(651) 241-5248
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2016
Enumeration DateAugust 16, 2016
Last NPPES UpdateJanuary 13, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2022
NPI 1811442205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MN · 2545
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.

2720 FAIRVIEW AVE N STE 100, Roseville, MN 55113

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

Kelly Van Dyke 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 ID6002184702
PECOS Enrollment IDI20170621003146
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
49 services22 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
43 services25 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
28 services28 patients

Hospital Affiliations CMS Care Compare

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

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240038
Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55113 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.

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.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2720 FAIRVIEW AVE N STE 100
ROSEVILLE, MN 55113
Psychologist
2720 FAIRVIEW AVE N STE 100
ROSEVILLE, MN 55113
Psychiatry & Neurology (Neurology)
2720 FAIRVIEW AVE N STE 100
ROSEVILLE, MN 55113
Psychiatry & Neurology (Neurology)
2720 FAIRVIEW AVE N STE 100
ROSEVILLE, MN 55113
Psychiatry & Neurology (Neurology)
2720 FAIRVIEW AVE N STE 100
ROSEVILLE, MN 55113
Social Worker
2720 FAIRVIEW AVE N STE 100
ROSEVILLE, MN 55113
Psychiatry & Neurology (Neurology)
2720 FAIRVIEW AVE N STE 100
ROSEVILLE, MN 55113
Clinical Neuropsychologist
2720 FAIRVIEW AVE N STE 100
ROSEVILLE, MN 55113

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 Van Dyke's NPI number?

The NPI number for Kelly Van Dyke is 1811442205. It was assigned to this individual provider in the NPPES registry on August 16, 2016.

Where is Kelly Van Dyke located?

Kelly Van Dyke practices at 2720 Fairview Ave N Ste 100, Roseville, MN 55113. The listed phone number is (651) 241-5290.

What is Kelly Van Dyke's specialty?

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

Is Kelly Van Dyke enrolled in Medicare?

Yes. Kelly Van Dyke 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 Kelly Van Dyke accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Kelly Van Dyke 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 Kelly Van Dyke affiliated with any hospitals?

According to CMS data, Kelly Van Dyke is affiliated with Allina United Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Van Dyke was last updated on January 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.