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KELLY MARIE BRYAN D.O.
NPI 1942732763
Pediatrics in Mankato, MN

Active since March 30, 2017PECOS Enrolled
1421 PREMIER DR, MANKATO, MN 56001(507) 389-8529 Get Directions Write a Review

NPPES record last updated: August 26, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 26, 2020, Jul 5, 2018, Mar 30, 2017 (3 updates tracked since 2017).

About Kelly Marie Bryan D.o. NPPES

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

KELLY MARIE BRYAN D.O. (NPI 1942732763) is an individual pediatrics provider in Mankato, Minnesota, licensed in Minnesota (67340) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1942732763
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKELLY MARIE BRYANCredential: D.O.
Location Address1421 PREMIER DRMankato, MN 56001-6076
Mailing Address1421 Premier DrMankato, MN 56001-6076 · (507) 389-8529
Phone(507) 389-8529
Sole ProprietorNo
Enumeration DateMarch 30, 2017
Last NPPES UpdateAugust 26, 20203 updates tracked since enumeration
NPPES CertifiedAugust 26, 2020
✔ NPI 1942732763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in MN · 67340✔ Licensed in KY · R4609
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1421 PREMIER DR, Mankato, MN 56001
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Secondary Practice Location 1

Location 1University Of Kentucky 800 Rose StreetLexington, KY 40536 · Phone (859) 323-2636 · Fax (859) 323-1315

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)

Kelly Marie Bryan D.o. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56001 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.

RICHARD J PELLER MD
Family Medicine
1421 PREMIER DR, MANKATO CLINIC
MANKATO, MN 56001
Blue Earth County (507) 625-1811
JAYA WADHAWAN
Pediatrics
1421 PREMIER DR
MANKATO, MN 56001
Blue Earth County (507) 625-1811
ABBY JEAN BARLAMENT MSW, LICSW
Social Worker (Clinical)
1421 PREMIER DR
MANKATO, MN 56001
Blue Earth County (507) 625-1811
SHIRLEY M ANDERSON MA CCCA
Audiologist
1421 PREMIER DR, MANKATO CLINIC AT WICKERSHAM CAMPUS
MANKATO, MN 56001
Blue Earth County (507) 625-1811
DARLA J WRAGE MD
Pediatrics
1421 PREMIER DR
MANKATO, MN 56001
Blue Earth County (507) 625-1811
DR. COLIN W. WEERTS D.O.
Family Medicine
1421 PREMIER DR
MANKATO, MN 56001
Blue Earth County (507) 625-1811
GILLETTE CHILDREN'S SPECIALTY HEALTHCARE
Durable Medical Equipment & Medical Supplies (Customized Equipment)
1421 PREMIER DR, SUITE 100
MANKATO, MN 56001
Blue Earth County (507) 207-2700
DR. NATHANIEL LEE GRAHAM O.D.
Optometrist
1421 PREMIER DR
MANKATO, MN 56001
Blue Earth County (507) 385-4070

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 Kelly Bryan's NPI number?

The NPI number for Kelly Bryan is 1942732763. It was assigned to this individual provider in the NPPES registry on March 30, 2017.

Where is Kelly Bryan located?

Kelly Bryan practices at 1421 Premier Dr, Mankato, MN 56001. The listed phone number is (507) 389-8529.

What is Kelly Bryan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kelly Bryan enrolled in Medicare?

Yes. Kelly Bryan is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Bryan accept?

Health plans from Medica and Sanford Health Plan list Kelly Bryan 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 Kelly Bryan was last updated on August 26, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.