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MR. PATRICK RYAN KELLY MSN, APRN, PMHNP-BC
NPI 1881971919
Nurse Practitioner - Psychiatric/Mental Health in Red Lake, MN

Active since November 03, 2011PECOS EnrolledAccepts Medicare Assignment
24760 HOSPITAL DRIVE, RED LAKE, MN 56671(218) 679-0396 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Patrick Ryan Kelly Msn, Aprn, Pmhnp-bc NPPES

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

MR. PATRICK RYAN KELLY MSN, APRN, PMHNP-BC (NPI 1881971919) is an individual psychiatric/mental health provider in Red Lake, Minnesota, licensed in Minnesota (10241) and active in the NPI registry since November 2011. He is enrolled in Medicare PECOS, is affiliated with Red Lake Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1881971919
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. PATRICK RYAN KELLYCredential: MSN, APRN, PMHNP-BC
Location Address24760 HOSPITAL DRIVERed Lake, MN 56671
Mailing Address911 Maple Ridge Ct NwBemidji, MN 56601-8009 · (605) 370-7669
Phone(218) 679-0396
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 3, 2011
Last NPPES UpdateJuly 14, 2023
NPPES CertifiedMarch 1, 2023
✔ NPI 1881971919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in MN · 10241✔ Licensed in TX · 1098752
24760 HOSPITAL DRIVE, Red Lake, MN 56671
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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

Mr. Patrick Ryan Kelly Msn, Aprn, Pmhnp-bc 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 ID7416310834
PECOS Enrollment IDI20231207002977
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.
32 services18 patients

Hospital Affiliations CMS Care Compare

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

Red Lake Hospital

Acute Care Hospitals · Redlake, MN
OwnershipGovernment - Federal
CMS Certification Number240206
Location24760 Hospital DriveRedlake, MN 56671 · Beltrami County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56671 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
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
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.

VIRGINIA BAUTISTA DDS,MDS
Dentist (General Practice)
24760 HOSPITAL DRIVE
REDLAKE, MN 56671
Beltrami County (218) 679-0119
DR. CHAD WILLIAM FEGAN D.D.S.
Dentist
24760 HOSPITAL DRIVE
RED LAKE, MN 56671
Beltrami County (218) 679-3912
JENNY BELLE HOLLIS L.I.C.S.W.
Social Worker (Clinical)
24760 HOSPITAL DRIVE
RED LAKE, MN 56671
Beltrami County (218) 679-3316
MICHELLE ANN MATHISON RN
Registered Nurse
24760 HOSPITAL DRIVE
RED LAKE, MN 56671
Beltrami County (218) 679-0193
ISAIAH ALAN RATZ PHARMD, MPH
Pharmacist
24760 HOSPITAL DRIVE
RED LAKE, MN 56671
Beltrami County (218) 679-2825
SAMANTHA GUSTAFSON
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
24760 HOSPITAL DRIVE
RED LAKE, MN 56671
Beltrami County (218) 679-2825
LUKE JOSEPH PELTIER PHARMD
Pharmacist
24760 HOSPITAL DRIVE
RED LAKE, MN 56671
Beltrami County (218) 679-3912
SAUNDA ST MARTIN NP, APRN
Clinical Nurse Specialist (Psychiatric/Mental Health)
24760 HOSPITAL DRIVE
REDLAKE, MN 56671
Beltrami County (218) 679-3912

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 Patrick Kelly's NPI number?

The NPI number for Patrick Kelly is 1881971919. It was assigned to this individual provider in the NPPES registry on November 3, 2011.

Where is Patrick Kelly located?

Patrick Kelly practices at 24760 Hospital Drive, Red Lake, MN 56671. The listed phone number is (218) 679-0396.

What is Patrick Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Patrick Kelly enrolled in Medicare?

Yes. Patrick Kelly 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.

Is Patrick Kelly affiliated with any hospitals?

According to CMS data, Patrick Kelly is affiliated with Red Lake Hospital.

When was this NPI record last updated?

The NPPES record for Patrick Kelly was last updated on July 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.