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KELLI MICHELLE CANNATA PA-C
NPI 1912358219
Physician Assistant in Fridley, MN

Active since June 28, 2016PECOS EnrolledAccepts Medicare Assignment
8290 UNIVERSITY AVE NE, STE 200, FRIDLEY, MN 55432(763) 786-9543(763) 786-3320 Get Directions Write a Review

NPPES record last updated: October 7, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2019, Feb 8, 2017, Jun 28, 2016 (3 updates tracked since 2016).

About Kelli Michelle Cannata Pa-c NPPES

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

KELLI MICHELLE CANNATA PA-C (NPI 1912358219) is an individual physician assistant in Fridley, Minnesota, licensed in Minnesota (12312) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Ridgeview Medical Center, and is a graduate of University Of Colorado School Of Medicine, Denver (2016).

NPPES Registry Identity

NPI1912358219
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLI MICHELLE CANNATACredential: PA-C
Location Address8290 UNIVERSITY AVE NE, STE 200Fridley, MN 55432-1847
Mailing Address8290 University Ave Ne, Ste 200Fridley, MN 55432-1847 · (763) 786-9543 · Fax (763) 786-3320
Phone(763) 786-9543
Fax(763) 786-3320
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 2016
Enumeration DateJune 28, 2016
Last NPPES UpdateOctober 7, 20193 updates tracked since enumeration
✔ NPI 1912358219 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 · 12312
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.
8290 UNIVERSITY AVE NE, Fridley, MN 55432
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Other Names 1

Former Name (1)Kelli Michelle Greene Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.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

Kelli Michelle Cannata Pa-c 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 ID7618261694
PECOS Enrollment IDI20170123002102
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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services21 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Ridgeview Medical Center

Acute Care Hospitals · Waconia, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240056
Location500 South Maple StreetWaconia, MN 55387 · Carver County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55432 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.

NOVACARE OUTPATIENT REHABILIATION EAST INC
Clinic/Center (Rehabilitation)
8290 UNIVERSITY AVE NE, SUITE 300
FRIDLEY, MN 55432
Anoka County (717) 975-4503
DR. ROBIN C CRANDALL M.D.
Orthopaedic Surgery
8290 UNIVERSITY AVE NE, SUITE 200
FRIDLEY, MN 55432
Anoka County (763) 786-9543
DR. JOSEPH FLAKE M.D.
Orthopaedic Surgery
8290 UNIVERSITY AVE NE, SUITE 200
FRIDLEY, MN 55432
Anoka County (763) 786-9543
JEANNE LOUISE LUCK RN, MSN, CFNP
Nurse Practitioner (Family)
8290 UNIVERSITY AVE NE, SUITE 200
FRIDLEY, MN 55432
Anoka County (763) 786-9543
JAMIE NASH KAIN PA-C
Physician Assistant (Surgical)
8290 UNIVERSITY AVE NE, SUITE 200
FRIDLEY, MN 55432
Anoka County (763) 786-9543
ANDREW JOHN COZADD PA-C
Physician Assistant
8290 UNIVERSITY AVE NE, SUITE 200
FRIDLEY, MN 55432
Anoka County (763) 786-9543
DR. RANDALL JOHN NORGARD MD
Orthopaedic Surgery
8290 UNIVERSITY AVE NE, FRIDLEY
FRIDLEY, MN 55432
Anoka County (763) 786-9543
NICOLE ANN WEIR PT
Physical Therapist
8290 UNIVERSITY AVE NE, SUITE 200
FRIDLEY, MN 55432
Anoka County (763) 786-9543

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 Kelli Cannata's NPI number?

The NPI number for Kelli Cannata is 1912358219. It was assigned to this individual provider in the NPPES registry on June 28, 2016. The provider is also known as Kelli Michelle Greene Pa-C.

Where is Kelli Cannata located?

Kelli Cannata practices at 8290 University Ave NE Ste 200, Fridley, MN 55432. The listed phone number is (763) 786-9543.

What is Kelli Cannata's specialty?

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

Is Kelli Cannata enrolled in Medicare?

Yes. Kelli Cannata 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 Kelli Cannata accept?

Health plans from HealthPartners and Medica list Kelli Cannata 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 Kelli Cannata affiliated with any hospitals?

According to CMS data, Kelli Cannata is affiliated with Ridgeview Medical Center.

When was this NPI record last updated?

The NPPES record for Kelli Cannata was last updated on October 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.