Active NPI
Kelly R Linnihan
- Physician Assistant
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 11779
- Practice address
- 1050 Larpenteur Ave W
Saint Paul, MN 55113-6556 - Phone
- (651) 788-4444
- Fax
- (651) 487-1705
- NPI assigned
- Jan 29, 2015
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 11779 | MN | Primary |
Addresses
Primary practice location
1050 Larpenteur Ave W
Saint Paul, MN 55113-6556
Mailing address
2025 Sloan PL Ste 35
Saint Paul, MN 55117-2092
Phone (651) 772-1572
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1050 Larpenteur Ave W
Saint Paul, MN 55113-6556
Phone (651) 788-4444
234 Wentworth Ave E
West St Paul, MN 55118-3525
Phone (651) 788-4444
2601 Centennial Dr
Suite 100
North St Paul, MN 55109-3087
Phone (651) 788-4444
2945 Lincoln Dr
Roseville, MN 55113-1338
Phone (651) 631-6570
3550 Labore Rd
Suite 7
Vadnais Heights, MN 55110-5113
Phone (651) 788-4444
Hospital & facility affiliations
- M Health Fairview University of MN Medical Center
- M Health Fairview St John'S Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Healthservices Minnesota, P.a. | Current | Accepting new patients | |
| East Metro Family Practice, P.a. | Past | Accepting new patients | |
| Family Healthservices Minnesota, P.a. | Past | Accepting new patients |
Locations
2601 Centennial Dr
Ste 100
Saint Paul, MN 55109
Phone (651) 777-7414
1050 Larpenteur Ave W
Saint Paul, MN 55113
Phone (651) 487-2831
2025 Sloan Pl
Ste 35
Saint Paul, MN 55117
Phone (651) 772-1572
Interoperability endpoints
- kelly.linnihan@entira.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Hugo, MN
- NPI 1639359359
-
- Rehabilitation Clinic/Center
- Roseville, MN
- NPI 1801517230
-
- Family Medicine Physician
- Inver Grove Heights, MN
- NPI 1760600258
-
- Family Medicine Physician
- Saint Paul, MN
- NPI 1629258355
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1316008212
-
- General Acute Care Hospital
- Maplewood, MN
- NPI 1447218482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698278400000",
"number": "1447640495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 SLOAN PL STE 35",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551172092",
"telephone_number": "651-772-1572",
"fax_number": "651-772-1889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 LARPENTEUR AVE W",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551136556",
"telephone_number": "651-788-4444",
"fax_number": "651-487-1705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINNIHAN",
"first_name": "KELLY",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-29",
"last_updated": "2023-10-26",
"certification_date": "2023-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "11779",
"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 Oct 26, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.