Kelly Ann Woods, CPNP/FPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

R165194-0 Issued in MN

Practice address

111 2ND St S
Sartell, MN 56377-1917

Phone

(320) 281-3339

Fax

(952) 927-8610

NPI assigned

Jun 13, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Kelly Ann Geiser Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Family Practice Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12435/brand/1/csg/1/fhir/r4
• Direct secure messaging: kelly.woods.1@33161.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sartell Pediatrics, P.a.

  • Pediatrics Physician
  • Sartell, MN
  • NPI 1215203898
  NPD
• Centracare Clinic

  • Multi-Specialty Clinic/Center
  • St Cloud, MN
  • NPI 1043212665
  NPD (past)
• Centracare Clinic

  • Multi-Specialty Clinic/Center
  • St Joseph, MN
  • NPI 1134121759
  NPD (past)
• Centracare Clinic

  • Multi-Specialty Clinic/Center
  • Saint Cloud, MN
  • NPI 1225030844
  NPD (past)
• Vicki Thomson PA

  • Preferred Provider Organization
  • Edina, MN
  • NPI 1013070952
  NPD (past)
• Wayzata Children'S Clinic P.a.

  • Pediatrics Physician
  • Minnetonka, MN
  • NPI 1023081577
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1235133729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 2ND ST S",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563771917",
            "telephone_number": "320-281-3339",
            "fax_number": "320-200-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 2ND ST S",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563771917",
            "telephone_number": "320-281-3339",
            "fax_number": "952-927-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "CPNP/FPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "R1651940",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MN",
            "license": "R165194-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "GEISER",
            "middle_name": "ANN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Louis Chester Winskowski III, CERTIFIED ORTHOTIST
• Louis Chester Winskowski Jr., CERTIFIED PEDORTHIST
• John Michael Wolfe, PA-C
• Austen Wollenburg, ATC
• Teia Rose Wolter
• Matthew Joseph Woods, APRN, CNP
• Terri Nicole Woodward
• Brianna Wright
• Suelyn Bieu Xaysongkham
• Michael James Yapel, DDS

• Pediatric Nurse Practitioner in Sartell, MN
• Providers in Sartell, MN by specialty
• Pediatric Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.