KELLY MARIE BRYAN D.O.
NPI 1942732763
Pediatrics in Mankato, MN
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
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelly Marie Bryan D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelly Bryan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mankato, MN 56001
- Reassigned Medicare billing, Minnesota enrollment
- 322 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
MANKATO, MN 56001
MANKATO, MN 56001
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.
Which organization bills Medicare for Kelly Bryan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Bryan reassigns Medicare benefits to Mankato Clinic Ltd (Mankato, MN). The 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 Kelly Bryan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Bryan accept?
Health plans from 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 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.
# Kelly Marie Bryan, D.O. · NPI 1942732763
Pediatrics physician in Mankato, Minnesota. Individual provider, active in the CMS NPPES registry since March 30, 2017.
## Identity
- **NPI:** 1942732763 (Entity type: Individual)
- **Enumerated:** March 30, 2017
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 67340 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1421 PREMIER DR, Mankato, MN 56001-6076
- **Phone:** (507) 389-8529
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mankato Clinic Ltd (NPI 1629044029, Mankato, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 26, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1942732763) · Data from the CMS NPPES public registry.