KELLY E PEZZELLA NP NPI 1679879241

NPI Information

  • NPI: 1679879241
  • Provider Name: KELLY E PEZZELLA, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2810 NICOLLET AVE
    MINNEAPOLIS, MN
    ZIP 55408
  • Phone: (612) 873-6963

Map and Directions

Get Directions

NPI Details

Kelly E Pezzella, NP is a family nurse practitioner in Minneapolis, MN with 15 years of experience. Kelly E Pezzella, NP NPI is 1679879241. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2011

The provider's business location address is:

2810 NICOLLET AVE
MINNEAPOLIS, MN
ZIP 55408-708
Phone: (612) 873-6963

The NPI 1679879241 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 1/31/2011 and was last updated on 3/28/2024.

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
1163W00000XRegistered NurseR-174313-3MINNESOTANo
2363LF0000XNurse PractitionerFamilyR-174313-3MINNESOTANo
3363LF0000XNurse PractitionerFamily2338MINNESOTAYes

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

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