ELLEN VIRGINIA KEARNEY NPI 1205689239

NPI Information

  • NPI: 1205689239
  • Provider Name: ELLEN VIRGINIA KEARNEY
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3930 NORTHWOODS DR
    ARDEN HILLS, MN
    ZIP 55112
  • Phone: (952) 853-8800

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NPI Details

Ellen Virginia Kearney is a family nurse practitioner in Arden Hills, MN with 3 years of experience. Ellen Virginia Kearney NPI is 1205689239. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3930 NORTHWOODS DR
ARDEN HILLS, MN
ZIP 55112-963
Phone: (952) 853-8800

The NPI 1205689239 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/9/2024 and was last updated on 8/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily11182MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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