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COLLEEN KELLY CORRELL
NPI 1912170580
Pediatrics - Pediatric Rheumatology in Minneapolis, MN

Active since April 03, 2008PECOS Enrolled
2450 RIVERSIDE AVE, 6TH FLOOR EAST BLDG, M668, MINNEAPOLIS, MN 55454(612) 626-4598 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 5, 2024, Mar 25, 2016 (2 updates tracked since 2016).

About Colleen Kelly Correll NPPES

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

COLLEEN KELLY CORRELL (NPI 1912170580) is an individual pediatric rheumatology provider in Minneapolis, Minnesota, licensed in Minnesota (58319) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912170580
Entity TypeIndividualFemale
Primary Taxonomy2080P0216X
Provider Legal NameCOLLEEN KELLY CORRELL
Location Address2450 RIVERSIDE AVE, 6TH FLOOR EAST BLDG, M668Minneapolis, MN 55454-1450
Mailing Address2450 Riverside Ave, 6th Floor East Bldg, M668Minneapolis, MN 55454-1450 · (612) 626-4598 · Fax (612) 626-6905
Phone(612) 626-4598
Sole ProprietorNo
Enumeration DateApril 3, 2008
Last NPPES UpdateJanuary 5, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2024
✔ NPI 1912170580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0216X
License✔ Licensed in MN · 58319
Definition
A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
2450 RIVERSIDE AVE, Minneapolis, MN 55454
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colleen Kelly Correll is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Colleen Correll reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairview Express Care
Same address
Clinic/Center
2450 RIVERSIDE AVE, STE F140
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
NPI 1841428745 (612) 672-6999
Fairview Specialty Services
Same address
Physical Therapy
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,373 clinicians in this Medicare group
NPI 1043199334 (855) 324-7843
University Of Minnesota Pediatric Dental Clinic
0.1 mi
Dentist
701 25TH AVE S, SUITE 400
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: University Of Minnesota Physicians
  • 1,453 clinicians in this Medicare group
NPI 1992075287 (651) 659-4900
University Of Minnesota Health Clinics And Surgery Center Inc
0.7 mi
Anesthesiology
909 FULTON ST SE
Minneapolis, MN 55455
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,662 clinicians in this Medicare group
NPI 1003485004 (612) 273-8383

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MICHELLE IRENE GRAY
Rehabilitation Practitioner
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
DR. KATHLEEN F SADAK MD
Pediatrics
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-6402
DR. ADMATHA MUTHYALA WINFRED MD
Internal Medicine (Geriatric Medicine)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
KELLY SCHELLER WILLIAMS
Dietitian, Registered
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-3216
MRS. MARY SUSAN CLIPP CPNP-AC
Nurse Practitioner (Pediatrics, Critical Care)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 365-3100
DANIEL TESFAYE KEBED MD
Internal Medicine
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
MS. CHELSEA ANJELICA MIELKE PA-C
Physician Assistant
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
MRS. JESSICA LYNN MCADAM
Nurse Anesthetist, Certified Registered
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-8383

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 Colleen Correll's NPI number?

The NPI number for Colleen Correll is 1912170580. It was assigned to this individual provider in the NPPES registry on April 3, 2008.

Where is Colleen Correll located?

Colleen Correll practices at 2450 Riverside Ave 6th Floor East Bldg, M668, Minneapolis, MN 55454. The listed phone number is (612) 626-4598.

What is Colleen Correll's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Rheumatology, with taxonomy code 2080P0216X.

Is Colleen Correll enrolled in Medicare?

Yes. Colleen Correll is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Colleen Correll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Colleen Correll reassigns Medicare benefits to 4 organizations: Fairview Express Care (Minneapolis, MN), Fairview Specialty Services (Minneapolis, MN), University Of Minnesota Pediatric Dental Clinic (Minneapolis, MN) and University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN). Each 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 Colleen Correll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Colleen Correll accept?

Health plans from Sanford Health Plan list Colleen Correll 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 Colleen Correll was last updated on January 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.