Kelsi K. Nelson, M.D.
Individual provider Active NPI Family Medicine Physician · Minneapolis, MN
NPI 1992733976 · NPPES record last updated May 21, 2024
Key facts
- NPI
- 1992733976
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 40770 (MN)
- Practice address
- 3433 Broadway St NE Ste 300
Minneapolis, MN 55413-1761 - Phone
- (763) 587-7737
- Fax
- (763) 587-7069
- NPI assigned
- Jun 29, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 14
Owned or controlled facilities with NPI records 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Minnesota Medical School, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Geriatric Services of Minnesota LLC
Genevive Aco LLC
Practice addresses (Care Compare)
3433 Broadway St NE
Suite 300
Minneapolis, MN 55413-1761
Phone (763) 587-7737
Hospital & facility affiliations
- Centracare Hospice
- Moments Hospice
- St Croix Hospice
- CHI Health at Home
- St Gabriels Hospital
- Fairview Northland Regional Hospital
- The Gardens at Foley LLC
- Country Manor Healthcare and Rehab Center
- Good Shepherd Lutheran Home
- St Ottos Care Center
- Little Falls Care Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Little Falls Care Center |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2025 Jan 1, 2025 |
| St Ottos Care Center Inc |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2023 Feb 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100603000767 | MN | Practitioner - Family Practice | 3375528151 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geriatric Services of Minnesota, LLC | Current |
Accepting new patients | |
| Genevive Aco LLC | Current |
Accepting new patients | |
| Good Shepherd Lutheran Home of Sauk Rapids, Minnesota | Past | Accepting new patients | |
| The Gardens at Foley LLC | Past | Accepting new patients | |
| Pierz Villa, Inc. | Past | Accepting new patients | |
| St. Otto'S Care Center Inc | Past | Accepting new patients | |
| Country Manor Campus LLC | Past | Accepting new patients | |
| Little Falls Health Services | Past | Accepting new patients | |
| Shakopee Care LLC | Past | Accepting new patients | |
| Talahi Nursing & Rehab Center LLC | Past | Accepting new patients | |
| Catholic Eldercare | Past | Accepting new patients |
Locations
715 1st St N
Cold Spring, MN 56320
Phone (320) 685-3693
3433 Broadway St NE
Ste 300
Minneapolis, MN 55413
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 40770 | MN | Yes |
Addresses
Primary practice location
3433 Broadway St NE Ste 300
Minneapolis, MN 55413-1761
Mailing address
3433 Broadway St NE Ste 300
Minneapolis, MN 55413-1761
Phone (763) 587-7737
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 359318500 | Medicaid | MN |
NPI Registry JSON
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716249600000",
"number": "1992733976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3433 BROADWAY ST NE STE 300",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554131761",
"telephone_number": "763-587-7737",
"fax_number": "763-587-7069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3433 BROADWAY ST NE STE 300",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554131761",
"telephone_number": "763-587-7737",
"fax_number": "763-587-7069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "KELSI",
"middle_name": "K.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2024-05-21",
"certification_date": "2024-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "40770",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "359318500",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
- Kari A Nelson
- Katherine Elizabeth Nelson
- Kayla Nelson
- Kayla Lee Nelson
- Kayla Nicole Nelson
- Keturrah Nelson
- Kristen Yvonne Nelson
- Lara Nelson
- Larissa Nelson
- Laura Nelson
All providers in Minneapolis, MN · Family Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.