KELLY ANN COLE PA
NPI 1891219507
Physician Assistant in Saint Paul, MN

Q: What is Kelly Cole's NPI number?

The NPI number for Kelly Cole is 1891219507. It was assigned to this individual provider in the NPPES registry on August 3, 2017.

Q: What is Kelly Cole's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Cole was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since August 03, 2017PECOS EnrolledAccepts Medicare Assignment

640 JACKSON ST, SAINT PAUL, MN 55101(952) 967-7977(651) 254-7990 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 23, 2025, Sep 30, 2020, Aug 3, 2017 (3 updates tracked since 2017).

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About Kelly Ann Cole Pa NPPES

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

KELLY ANN COLE PA (NPI 1891219507) is an individual physician assistant in Saint Paul, Minnesota, licensed in Minnesota (15362) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, is affiliated with Regions Hospital, and maintains a secondary practice location in Fort Wayne.

NPPES Registry Identity

NPI1891219507

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKELLY ANN COLECredential: PA

Location Address640 JACKSON STSaint Paul, MN 55101-2502

Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516

Phone(952) 967-7977

Fax(651) 254-7990

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateAugust 3, 2017

Last NPPES UpdateDecember 23, 20253 updates tracked since enumeration

NPPES CertifiedDecember 23, 2025

✔ NPI 1891219507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in MN · 15362✔ Licensed in IN · 10002268A

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.

640 JACKSON ST, Saint Paul, MN 55101

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Secondary Practice Location 1

Location 17900 W Jefferson Blvd Ste 306Fort Wayne, IN 46804-4128 · Phone (260) 458-3610 · Fax (260) 458-3611

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 Ann Cole Pa 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 ID42576381

PECOS Enrollment IDI20251121001717

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 2

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.

31 services19 patients

Repair of wound by transferring skin, 30.1-60.0 sq cm 14301

This procedure involves repairing a wound by moving healthy skin from one area of the body to the wound site. The transferred skin, measuring between 30.1-60.0 square cm, aids in healing and reduces scarring.

12 services11 patients

Hospital Affiliations CMS Care Compare

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

Regions Hospital

Acute Care Hospitals · Saint Paul, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240106

Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55101 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.

WOJCIECH KRASZKIEWICZ M.D.

Internal Medicine