Active NPI
Kelly Barnes, M.D
- Family Medicine Physician
- Saint Paul, MN
National Provider Identifier
1861802001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 60392
- Practice address
- 1385 Phalen Boulevard
Saint Paul, MN 55106 - Phone
- (651) 776-2719
- Fax
- (651) 771-3978
- NPI assigned
- Apr 28, 2014
- 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 | 60392 | MN | Primary |
Addresses
Primary practice location
1385 Phalen Boulevard
Saint Paul, MN 55106
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170915002360 | MN | Practitioner - Family Practice | 0143548263 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Minnesota Medical School, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Family Healthservices Minnesota PA
Practice addresses (Care Compare)
1385 Phalen Blvd
Saint Paul, MN 55106-2126
Phone (651) 788-4444
Hospital & facility affiliations
- Allina Health Home Health
- M Health Fairview University of MN Medical Center
- M Health Fairview St John'S Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60392 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Healthservices Minnesota, P.a. | Family Medicine | Current | Accepting new patients |
| East Metro Family Practice, P.a. | Family Medicine | Past | Accepting new patients |
Locations
911 Maryland Ave E
Saint Paul, MN 55106
Phone (651) 776-2719
1385 Phalen Blvd
Saint Paul, MN 55106
Phone (512) 866-1812
2601 Centennial Dr
Ste 100
Saint Paul, MN 55109
Phone (651) 777-7414
2025 Sloan Pl
Ste 35
Saint Paul, MN 55117
Phone (651) 772-1572
Interoperability endpoints
- kelly.barnes@entira.eclinicaldirectplus.com
Organizations & group practices 2
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
Family Medicine, MN
-
- Family Medicine Physician
- Inver Grove Heights, MN
- NPI 1760600258
Family Medicine
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Minneapolis, MN
- NPI 1184661894
-
- Home Health Agency
- Minneapolis, MN
- NPI 1316985039
-
- Home Health Agency
- Minneapolis, MN
- NPI 1831909134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698278400000",
"number": "1861802001",
"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": "1385 PHALEN BOULEVARD",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "55106",
"telephone_number": "651-776-2719",
"fax_number": "651-771-3978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNES",
"first_name": "KELLY",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-28",
"last_updated": "2023-10-26",
"certification_date": "2023-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "60392",
"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.