Active NPI
Kelley Rae Jewett, MD
- Family Medicine Physician
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 36314
- Practice address
- 409 Dunlap St N
Saint Paul, MN 55104-4201 - Phone
- (651) 290-9200
- NPI assigned
- Aug 15, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 36314 | MN | Primary |
Addresses
Primary practice location
409 Dunlap St N
Saint Paul, MN 55104-4201
Mailing address
3128 35TH Ave S
Minneapolis, MN 55406-2114
Phone (612) 729-5814
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Regents of the University of Minnesota | Past | Accepting new patients | |
| Open Cities Health Center, Inc. | Past | Accepting new patients | |
| Open Cities Health Center, Inc. | Past | Accepting new patients |
Locations
6936 Pine Arbor Dr S
Ste 100
Cottage Grove, MN 55016
Phone (651) 326-5800
1215 Town Centre Dr
Eagan, MN 55123
Phone (651) 326-1515
14688 Everton Ave N
Ste 101
Hugo, MN 55038
Phone (651) 275-4706
1983 Sloan Pl
Ste 1
Saint Paul, MN 55117
Phone (651) 326-5700
2680 Snelling Ave N
Ste 200
Saint Paul, MN 55113
Phone (651) 326-1600
1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002
980 Rice St
Saint Paul, MN 55117
Phone (651) 326-9020
870 Grand Ave
Saint Paul, MN 55105
Phone (651) 326-5650
2945 Hazelwood St
Ste 100
Saint Paul, MN 55109
Phone (651) 232-7800
1099 Helmo Ave N
Ste 100
Saint Paul, MN 55128
Phone (651) 326-5300
2900 Curve Crest Blvd W
Stillwater, MN 55082
Phone (651) 471-5600
480 Highway 96 E
Vadnais Heights, MN 55127
Phone (651) 326-5900
1875 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IDHIBD
Organizations & group practices 7
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.
-
dba HealthEast Vadnais Heights Clinic
- Clinic/Center
- Vadnais Heights, MN
- NPI 1639125503
-
dba HealthEast Professional Services
- Internal Medicine Physician
- Saint Paul, MN
- NPI 1508191552
-
dba HealthEast Rice Street Clinic
- Clinic/Center
- Saint Paul, MN
- NPI 1578503124
-
dba HealthEast Roselawn Clinic
- Clinic/Center
- Saint Paul, MN
- NPI 1871549741
-
- Federally Qualified Health Center (FQHC)
- Saint Paul, MN
- NPI 1225101405
-
- Federally Qualified Health Center (FQHC)
- Saint Paul, MN
- NPI 1538037619
-
dba Community-University Health Care Center
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
- NPI 1114019858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1396747788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3128 35TH AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554062114",
"telephone_number": "612-729-5814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 DUNLAP ST N",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551044201",
"telephone_number": "651-290-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEWETT",
"first_name": "KELLEY",
"middle_name": "RAE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "36314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.