Kelly Michael Taylor, CNP - Medicare Nurse Practitioner in St Louis Park, MN

  1. Home
  2. Nurse Practitioner
  3. MN
  4. St Louis Park
Kelly Michael Taylor, CNP is a medicare enrolled "Nurse Practitioner - Family" in St Louis Park, Minnesota. He graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Ridgeview Medical Center, Hennepin County and his current practice location is 6500 Excelsior Blvd, St Louis Park, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 993-5000.

Kelly Michael Taylor is licensed to practice in Minnesota (license number CNP 4805) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1295289064.

Contact Information

Kelly Michael Taylor, CNP
6500 Excelsior Blvd,
St Louis Park, MN 55426-4702
(952) 993-5000
Not Available

Map and Direction




Provider's Profile

Full NameKelly Michael Taylor
GenderMale
SpecialityNurse Practitioner
Experience10 Years
Location6500 Excelsior Blvd, St Louis Park, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Michael Taylor graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1295289064
  • Provider Enumeration Date: 08/10/2016
  • Last Update Date: 10/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4981983632
  • Enrollment ID: I20161121000541

Medical Identifiers

Medical identifiers for Kelly Michael Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295289064NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family CNP 4805 (Minnesota)Primary
390200000XStudent In An Organized Health Care Education/training Program R 237119-3 (Minnesota)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hennepin County Medical Center 1Minneapolis, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ridgeview Medical Center9234041997298
Hennepin County7911892849107

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Michael Taylor allows following entities to bill medicare on his behalf.
Entity NameSuburban Emergency Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134173628
PECOS PAC ID: 8325950975
Enrollment ID: O20031103000223
Entity NamePark Nicollet Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameFairview Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346432218
PECOS PAC ID: 7113830142
Enrollment ID: O20031106000516
Entity NameRidgeview Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528364429
PECOS PAC ID: 9234041997
Enrollment ID: O20031111000183
Entity NameHealtheast Medical Research Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639125503
PECOS PAC ID: 3971407636
Enrollment ID: O20031124000507
Entity NameHennepin County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780790345
PECOS PAC ID: 7911892849
Enrollment ID: O20040218001012
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295272342
PECOS PAC ID: 4587573613
Enrollment ID: O20040319000460
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457657249
PECOS PAC ID: 4587573613
Enrollment ID: O20221213001713

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Michael Taylor is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Michael Taylor, CNP
525 Portland Ave # Mc963,
Minneapolis, MN 55415-1533

Ph: (612) 596-7005		Kelly Michael Taylor, CNP
6500 Excelsior Blvd,
St Louis Park, MN 55426-4702

Ph: (952) 993-5000

Reviews and Comments


Nurse Practitioner Nurses in St Louis Park, MN

Camille Ashley Schwarzrock, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3931 Louisiana Ave S, St Louis Park, MN 55426
Phone: 952-993-3230    Fax: 952-993-1748
Rachel Anderson, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4201 Excelsior Blvd, St Louis Park, MN 55416
Phone: 952-933-8900    
Akhsa Simonovich, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5320 W 23rd St Ste 130, St Louis Park, MN 55416
Phone: 952-345-8770    
Haley Carlock, DNP, PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1155 Ford Rd, Suite B, St Louis Park, MN 55426
Phone: 952-378-1800    Fax: 952-378-1714
Anna Lynn Johnson, APRN CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-993-3246    Fax: 952-993-3010
Oluwasegun Paul David, DNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5775 Wayzata Blvd Fl 2, St Louis Park, MN 55416
Phone: 952-525-4500    
Tiffany Rae Krebsbach,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-993-3246    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.