MRS. KELLY JEAN HEDBLAD ACNPC-AG
NPI 1992256382
Nurse Practitioner in Maplewood, MN
About Mrs. Kelly Jean Hedblad Acnpc-ag NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KELLY JEAN HEDBLAD ACNPC-AG (NPI 1992256382) is an individual nurse practitioner in Maplewood, Minnesota, licensed in Minnesota (CNP4856) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview St John's Hospital, and maintains a secondary practice location in Saint Paul.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Mrs. Kelly Jean Hedblad Acnpc-ag 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.
Medicare Billing Reassignments
3Medicare enrollment records show Kelly Hedblad reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Maplewood, MN 55109
- Reassigned Medicare billing, Minnesota enrollment
- 2,361 clinicians in this Medicare group
Saint Paul, MN 55106
- Reassigned Medicare billing, Minnesota enrollment
- 2,302 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 2,373 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
M Health Fairview St John's Hospital
Acute Care Hospitals · Maplewood, MNM Health Fairview Woodwinds Hospital
Acute Care Hospitals · Woodbury, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Hedblad's NPI number?
The NPI number for Kelly Hedblad is 1992256382. It was assigned to this individual provider in the NPPES registry on October 20, 2016.
Where is Kelly Hedblad located?
Kelly Hedblad practices at 2945 Hazelwood St Ste 100, Maplewood, MN 55109. The listed phone number is (651) 232-7800.
What is Kelly Hedblad's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kelly Hedblad enrolled in Medicare?
Yes. Kelly Hedblad 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 Hedblad's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Hedblad reassigns Medicare benefits to 3 organizations: Healtheast Medical Research Institute (Maplewood, MN), Fairview Clinics (Saint Paul, MN) and Fairview Specialty Services (Saint Paul, MN). 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 Hedblad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kelly Hedblad affiliated with any hospitals?
According to CMS data, Kelly Hedblad is affiliated with M Health Fairview St John's Hospital and M Health Fairview Woodwinds Hospital.
When was this NPI record last updated?
The NPPES record for Kelly Hedblad was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mrs. Kelly Jean Hedblad, ACNPC-AG · NPI 1992256382
Nurse Practitioner physician in Maplewood, Minnesota. Individual provider, active in the CMS NPPES registry since October 20, 2016.
## Identity
- **NPI:** 1992256382 (Entity type: Individual)
- **Enumerated:** October 20, 2016
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** CNP4856 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2945 HAZELWOOD ST STE 100, Maplewood, MN 55109-1241
- **Phone:** (651) 232-7800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Healtheast Medical Research Institute (NPI 1073569943, Maplewood, MN); Fairview Clinics (NPI 1124652557, Saint Paul, MN); Fairview Specialty Services (NPI 1912066218, Saint Paul, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** March 17, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1992256382) · Data from the CMS NPPES public registry.