MS. KELLY ANN PEARSON CNP
NPI 1992216618
Nurse Practitioner - Family in Saint Paul, MN

Active since October 20, 2017PECOS EnrolledAccepts Medicare Assignment
205 WABASHA ST S, SAINT PAUL, MN 55107(952) 853-8800 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 14, 2025, Apr 11, 2018, Oct 20, 2017 (3 updates tracked since 2017).

About Ms. Kelly Ann Pearson Cnp NPPES

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

MS. KELLY ANN PEARSON CNP (NPI 1992216618) is an individual family provider in Saint Paul, Minnesota, licensed in Minnesota (5448) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, is affiliated with Sky Lakes Medical Center, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1992216618
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. KELLY ANN PEARSONCredential: CNP
Location Address205 WABASHA ST SSaint Paul, MN 55107-1805
Mailing Address335 Daly StSaint Paul, MN 55102-3211 · (651) 343-4891
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 20, 2017
Last NPPES UpdateMarch 14, 20253 updates tracked since enumeration
NPPES CertifiedMarch 14, 2025
✔ NPI 1992216618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MN · 5448
Also ListedRegistered NurseTaxonomy 163W00000X · License 1618718 (MN)
205 WABASHA ST S, Saint Paul, MN 55107

Secondary Practice Locations 6

Location 11801 Nicollet AveMinneapolis, MN 55403-3791 · Phone (612) 823-2947
Location 28450 Seasons PkwyWoodbury, MN 55125-4402 · Phone (952) 853-8800
Location 33930 Northwoods DrArden Hills, MN 55112-6963 · Phone (952) 853-8800
Location 415350 English AveApple Valley, MN 55124-6252 · Phone (952) 853-8800
Location 52945 Hazelwood StMaplewood, MN 55109-1241 · Phone (651) 232-7800 · Fax (651) 232-7940
Location 62500 Como AveSaint Paul, MN 55108-1460 · Phone (952) 853-8800

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Kelly Ann Pearson Cnp 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 ID5597028506
PECOS Enrollment IDI20180404001000, I20260303001819
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Kelly Pearson reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Pediatric Dentistry
205 WABASHA ST S
Saint Paul, MN 55107
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,274 clinicians in this Medicare group
Primary Care
45 10TH ST W
Saint Paul, MN 55102
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,302 clinicians in this Medicare group
Internal Medicine
45 10TH STREET WEST
Saint Paul, MN 55102
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Healtheast Medical Research Institute
  • 2,361 clinicians in this Medicare group
General Acute Care Hospital
2450 RIVERSIDE AVE, OUTREACH LAB DEPARTMENT
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
Clinic/Center
2310 CRESTVIEW DR
Hudson, WI 54016
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Hudson Physicians Sc
  • 74 clinicians in this Medicare group
Critical Access
401 W MOHAWK DR STE 100
Tomahawk, WI 54487
  • Reassigned Medicare billing, Wisconsin enrollment
  • 935 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.

Areas of Expertise CMS Part B claims 7

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.
72 services68 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
71 services70 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
26 services26 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
23 services22 patients
Bacterial colony count, urine 87086
A bacterial colony count, urine, is a laboratory test that checks a urine sample for bacteria. It helps to identify if an infection is present in the urinary system. High numbers of bacteria in the urine can indicate a urinary tract infection (UTI).
21 services21 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Sky Lakes Medical Center

Acute Care Hospitals · Klamath Falls, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380050
Location2865 Daggett AvenueKlamath Falls, OR 97601 · Klamath County
Emergency services

Aspirus Rhinelander Hospital

Acute Care Hospitals · Rhinelander, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520019
Location2251 North Shore DrRhinelander, WI 54501 · Oneida County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55107 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$3.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Family)
205 WABASHA ST S
SAINT PAUL, MN 55107
Family Medicine
205 WABASHA ST S
SAINT PAUL, MN 55107
Family Medicine
205 WABASHA ST S
SAINT PAUL, MN 55107
Advanced Practice Midwife
205 WABASHA ST S
SAINT PAUL, MN 55107
Nurse Practitioner
205 WABASHA ST S
ST PAUL, MN 55107
Physician Assistant
205 WABASHA ST S
SAINT PAUL, MN 55107
Emergency Medicine
205 WABASHA ST S
SAINT PAUL, MN 55107
Internal Medicine (Nephrology)
205 WABASHA ST S
SAINT PAUL, MN 55107

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 Pearson's NPI number?

The NPI number for Kelly Pearson is 1992216618. It was assigned to this individual provider in the NPPES registry on October 20, 2017.

Where is Kelly Pearson located?

Kelly Pearson practices at 205 Wabasha St S, Saint Paul, MN 55107. The listed phone number is (952) 853-8800.

What is Kelly Pearson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelly Pearson enrolled in Medicare?

Yes. Kelly Pearson 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.

Which organizations bill Medicare for Kelly Pearson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Pearson reassigns Medicare benefits to 6 organizations: Group Health, Inc. (Saint Paul, MN), Fairview Clinics (Saint Paul, MN), Healtheast Medical Research Insititue (Saint Paul, MN), Fairview Health Services (Minneapolis, MN), Hudson Physicians, S.C. (Hudson, WI) and 1 more organization, listed in the Medicare section above. Each 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 Pearson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Pearson accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and HealthPartners list Kelly Pearson 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 Kelly Pearson affiliated with any hospitals?

According to CMS data, Kelly Pearson is affiliated with Sky Lakes Medical Center and Aspirus Rhinelander Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Pearson was last updated on March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.