KELLY JON HARE DR.
NPI 1952293029
Nurse Anesthetist, Certified Registered in Plymouth, MN

Active since July 15, 2025Accepts Medicare Assignment
PO BOX 47159, PLYMOUTH, MN 55447(763) 450-3986(763) 450-3986 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Jon Hare Dr. NPPES

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

KELLY JON HARE DR. (NPI 1952293029) is an individual nurse anesthetist, certified registered in Plymouth, Minnesota, licensed in Minnesota (3221) and active in the NPI registry since July 2025. He is a graduate of Other (2025).

NPPES Registry Identity

NPI1952293029
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameKELLY JON HARECredential: DR.
Location AddressPO BOX 47159Plymouth, MN 55447-0159
Mailing AddressPo Box 47159Plymouth, MN 55447-0159 · (763) 559-3779 · Fax (763) 450-3986
Fax(763) 450-3986
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 15, 2025
Last NPPES UpdateSeptember 10, 2025
NPPES CertifiedSeptember 10, 2025
NPI 1952293029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in MN · 3221
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Accepted 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

Kelly Jon Hare Dr. 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 ID3173011020
PECOS Enrollment IDI20251022002733

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55447 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
PO BOX 47159
PLYMOUTH, MN 55447
Nurse Anesthetist, Certified Registered
PO BOX 47159
PLYMOUTH, MN 55447

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 Hare's NPI number?

The NPI number for Kelly Hare is 1952293029. It was assigned to this individual provider in the NPPES registry on July 15, 2025.

Where is Kelly Hare located?

Kelly Hare practices at PO Box 47159, Plymouth, MN 55447. The listed phone number is (763) 450-3986.

What is Kelly Hare's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Kelly Hare enrolled in Medicare?

Yes. Kelly Hare 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 Kelly Hare accept?

Health plans from Medica list Kelly Hare 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 Hare was last updated on September 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.