Individual provider Active NPI

Kelsey MB McAnally, D.O.

  • Internal Medicine Physician
  • Saint Cloud, MN
National Provider Identifier
1548608235
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
61316 Issued in MN
Practice address
2035 15TH St N
Saint Cloud, MN 56303-1738
Phone
(320) 656-7100
NPI assigned
Jun 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 3572 AZ
Internal Medicine Physician 207R00000X 010619 AZ
Internal Medicine Physician 207R00000X CDR.0002981 CO
Internal Medicine Physician 207R00000X 96748 GA
Internal Medicine Physician 207R00000X 36.165975 IL
Internal Medicine Physician 207R00000X 02007678A IN
Internal Medicine Physician 207R00000X DO3817 ME
Internal Medicine Physician 207R00000X EMC0003672 MI
Internal Medicine Physician 207R00000X 61316 MN Primary
Internal Medicine Physician 207R00000X 34C.000144 OH
Internal Medicine Physician 207R00000X 5610 TN
Internal Medicine Physician 207R00000X 13489769-1204 UT

Addresses

Primary practice location

2035 15TH St N
Saint Cloud, MN 56303-1738

Mailing address

2035 15TH St N
Saint Cloud, MN 56303-1738
Phone (320) 656-7100

Other names 1

  • Kelsey Michele Bowden McAnally Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kmcanally320484@direct.centracare.com Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161103001574 MN Practitioner - Internal Medicine 0244552305 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lincoln Memorial University Medical Department, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Cloud HospitalGroup PAC ID 4880594779, 215 clinicians
Care Talk Health FL PAGroup PAC ID 3173995966, 31 clinicians
Solace Health Medical Group IncGroup PAC ID 9830540624, 122 clinicians

Practice addresses (Care Compare)

2035 15TH St N
Saint Cloud, MN 56303-1738
Phone (320) 656-7100

25 Highbanks PL
Saint Cloud, MN 56301-4408
Phone (800) 577-1264

333 Washington Ave N
Suite 3009036
Minneapolis, MN 55401-2263
Phone (240) 693-3281

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3572AZMDClinical Psychologist
010619AZMDInternal Medicine Physician
CDR.0002981COMDInternal Medicine Physician
96748GAMDInternal Medicine Physician
36.165975ILMDInternal Medicine Physician
02007678AINMDInternal Medicine Physician
DO3817MEMDInternal Medicine Physician
EMC0003672MIMDInternal Medicine Physician
34C.000144OHMDInternal Medicine Physician
13489769-1204UTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centracare Health System - Sauk Centre Current Accepting new patients
Centracare Health System - Sauk Centre Current Accepting new patients
Centracare Health System-NR LLC CurrentSince Oct 3, 2016 Accepting new patients
Cura of Sauk Centre LLC CurrentSince May 1, 2018 Accepting new patients
Regional Diagnostic Radiology Current Accepting new patients
St. Cloud Hospital CurrentSince Oct 3, 2016 Accepting new patients
Care Talk Health FL PA CurrentSince Jan 1, 2025 Accepting new patients
St. Cloud Hospital Current Accepting new patients
Centracare Health System-NR LLC Current Accepting new patients
Centracare Clinic Current Accepting new patients
Centracare Clinic CurrentSince Aug 1, 2018 Accepting new patients
Centracare Health System - Sauk Centre CurrentSince May 1, 2018 Accepting new patients
Centracare Clinic CurrentSince Aug 1, 2018 Accepting new patients
Centracare Health System-NR LLC CurrentSince Oct 3, 2016 Accepting new patients
Solace Health Medical Group Inc CurrentSince Feb 7, 2025 Accepting new patients
St. Cloud Hospital Current Accepting new patients

Locations

320 Boston Post Rd
Ste 180
Darien, CT 06820
Phone (203) 309-0623

2057 Green Bay Rd
#1001
Highland Park, IL 60035
Phone (708) 320-1477

4849 Rugby Ave
Bethesda, MD 20814
Phone (240) 817-7500

333 Washington Ave N
Ste 3009036
Minneapolis, MN 55401

1013 Hart Blvd
Monticello, MN 55362
Phone (763) 271-2303

1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342

2035 15th St N
Saint Cloud, MN 56303
Phone (320) 202-7189

1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657

2035 15th St N
Ste 130
Saint Cloud, MN 56303
Phone (320) 656-7100

425 Elm St N
Sauk Centre, MN 56378
Phone (320) 352-2221

110 2nd St S
Ste 104
Waite Park, MN 56387
Phone (320) 259-9375

10 Canebrake Blvd
Ste 110
Flowood, MS 39232
Phone (313) 264-5297

10803 SE Kent Kangley Rd
Ste 202
Kent, WA 98030
Phone (206) 518-2097

Interoperability endpoints

  • Direct secure messaging: kelsey.mcanally@217526021193732.direct.elationemr.com
  • Direct secure messaging: kmcanally320484@direct.centracare.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1548608235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 15TH ST N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031738",
            "telephone_number": "320-656-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 15TH ST N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031738",
            "telephone_number": "320-656-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCANALLY",
        "first_name": "KELSEY",
        "middle_name": "MB",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-05",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "3572",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "010619",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "CDR.0002981",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "96748",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "36.165975",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "02007678A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "DO3817",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "EMC0003672",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "61316",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34C.000144",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "5610",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "13489769-1204",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmcanally320484@direct.centracare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "kmcanally320484@direct.centracare.com",
            "address_1": "2035 15th St N",
            "city": "Saint Cloud",
            "state": "MN",
            "country_code": "US",
            "postal_code": "563031738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "MCANALLY",
            "middle_name": "MICHELE BOWDEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Cloud, MN

Sources for this page

Verify at the official NPI Registry.