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

Q: 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.

Q: What is Colleen Correll's specialty?

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

Q: 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.

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: August 23, 2026.

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

On this page

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

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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