NPPES file of Aug 9, 2026

Kelli A. Petersen, NP-C

Adult Health Nurse Practitioner · Minneapolis, MN

Kelli A. Petersen, NP-C is an adult health nurse practitioner with a practice address in Minneapolis, Minnesota, and NPI 1164702742, issued on Aug 26, 2011. Check the license (Minnesota 1676, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1164702742
Name
Kelli A. Petersen
Credential
NP-C
Primary taxonomy
Adult Health Nurse Practitioner 363LA2200X
License number
1676 MN
Self-reported in NPPES; status is on the state search
Practice location
2925 Chicago Ave, Minneapolis, MN 55407
Phone
(612) 262-7800
Enumerated
Aug 26, 2011
Record last updated
Jan 11, 2024
Fax
(612) 262-7022
Medicare enrollment
Enrolled (PECOS I20111206000627); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
Download card Updates feed

Also registered at 2925 Chicago Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Michael Abawkaw, MDInternal Medicine Physician1114503315
  2. Paul Abear, MDInternal Medicine Physician1841710696
  3. Maichel Abou El Makarim Gharabawy, M.DHospitalist Physician1871735936
  4. Kari Abraham, APRN, CPNP-PCPediatric Nurse Practitioner1699518944
  5. Kenneth Adams, MDSpecialist1528060886
  6. Ryann Adkins, LICSWClinical Social Worker1285264713

Verify Kelli A. Petersen in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
    Search for license 1676
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Minnesota license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

Bills Medicare through one group practice

  1. Healtheast Medical Research InstituteMaplewood, MN

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Kelli A. Petersen among 601 adult health nurse practitioner records in Minnesota

Kelli A. Petersen, NP-C is one of 601 adult health nurse practitioner records with a practice address in Minnesota. 65% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2011, is newer than 43% of them.

  • NPI issued2011 · 43% of these records are older, 49% newer
  • In a Medicare fileYes · 65% of these records are
  • In the CMS Doctors and Clinicians fileYes · 52% of these records are
  • Graduated2011 · median 2014 among the 310 with a school on file
  • Record last updated2024 · 65% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LA2200X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Adult Health Nurse Practitioner providers in Minnesota

There are 601 adult health nurse practitioner records in Minnesota.

The 8 adult health nurse practitioner records with the nearest ZIP codes

  1. Emily Cabot, NPMinneapolis, MN 554071346427390
  2. Elizabeth Dedricks Cairns, NPMinneapolis, MN 554071598713596
  3. Kathleen KlardieMinneapolis, MN 554071932160611
  4. Lise Lunde, NPMinneapolis, MN 554071851342877
  5. Susan Machutt, NPMinneapolis, MN 554071366409963
  6. Christine Maxfield, ANPMinneapolis, MN 554071205890316
  7. Marcia Meredith, NPMinneapolis, MN 554071306968409
  8. Sherilyn Milner, APRN, BCMinneapolis, MN 554071720273980

Common questions

What is Kelli A. Petersen, NP-C's NPI number?

Kelli A. Petersen, NP-C's National Provider Identifier (NPI) is 1164702742, issued on Aug 26, 2011. An NPI identifies a provider in billing; it is not a license.

Where is Kelli A. Petersen, NP-C located?

The NPPES record lists a practice address at 2925 Chicago Ave, Minneapolis, MN, 55407. Phone: (612) 262-7800. Providers update this record themselves, so call before visiting.

How can I verify Kelli A. Petersen, NP-C's license?

NPPES lists Minnesota license number 1676, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.