KELLI J SIMMONS APRN NPI 1336186048

NPI Information

NPI: 1336186048
Provider Name: KELLI J SIMMONS, APRN
Classification: Clinical Nurse Specialist - 364SA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
420 DELAWARE STREET SOUTHEAST
MAYO MAIL CODE 450
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 626-5919
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Kelli J Simmons, APRN is an adult health clinical nurse specialist in Minneapolis, MN with 36 years of experience. Kelli J Simmons, APRN NPI is 1336186048. 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:

420 DELAWARE STREET SOUTHEAST
MAYO MAIL CODE 450
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 626-5919
Fax: (612) 625-4406

The NPI 1336186048 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 6/1/2006 and was last updated on 2/17/2010.

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
1	364SA2200X	Clinical Nurse Specialist	Adult Health	093545	MISSOURI	No
2	364SA2200X	Clinical Nurse Specialist	Adult Health	R183718-8	MINNESOTA	Yes

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
1	P00609884	MEDICARE UPIN	MISSOURI
2	P00104707	OTHER	MISSOURI	RR MEDICARE
3	041080010	MEDICARE PIN	MISSOURI
4	P95275	MEDICARE UPIN
5	427483300	MEDICAID	MISSOURI
6	816675236	MEDICARE PIN	MISSOURI

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: 4/28/2024

NPI Synchronization or Removal

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