SUSAN LEE KISSELL RN CNP NPI 1245249259

NPI Information

  • NPI: 1245249259
  • Provider Name: SUSAN LEE KISSELL, RN, CNP
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • Address: 401 CARLSON PARKWAY
    MINNETONKA, MN
    ZIP 55305
  • Phone: (952) 992-3612

Map and Directions

Get Directions

NPI Details

Susan Lee Kissell, RN, CNP is a gerontology nurse practitioner in Minnetonka, MN. Susan Lee Kissell, RN, CNP NPI is 1245249259. 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:

401 CARLSON PARKWAY
MINNETONKA, MN
ZIP 55305-387
Phone: (952) 992-3612

The enumeration date for this NPI number is 8/7/2006 and was last updated on 9/2/2011.

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
1363LG0600XNurse PractitionerGerontologyR0665283MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P47205MEDICARE UPINMINNESOTA
2500002370MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA
31145878-00MEDICAIDMINNESOTA

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI