Kellie Kershisnik, MD
Family Medicine Physician · Lino Lakes, MN
Kellie Kershisnik, MD is a family medicine physician with a practice address in Lino Lakes, Minnesota, and NPI 1629029566, issued on May 15, 2006. Check the license (Minnesota 38004, as entered in NPPES) on the Minnesota Board of Medical Practice; the Medicare figures below come from public CMS files.
- Name
- Kellie Kershisnik
- Credential
- MD
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License number
- 38004 MN
Self-reported in NPPES; status is on the state search - Practice location
- 7455 Village Dr, Lino Lakes, MN 55014
- Phone
- (651) 717-3400
- Enumerated
- May 15, 2006
- Record last updated
- Jul 13, 2026
- Entity
- Type 1 · individual
8 nearest family medicine physician records → All 3,985 in Minnesota → Look up another NPI →
Also registered at 7455 Village Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Tara ColeFamily Medicine Physician1063465458
- Scott Gorham, DPTPhysical Therapist1831575299
- Trish Haro, PTAPhysical Therapy Assistant1184827099
- Scott Moses, MDFamily Medicine Physician1508817149
Verify Kellie Kershisnik in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMinnesota Board of Medical Practice
Search for license 38004Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The practice group's MIPS final score for 2023 (Medicare payment program): 86.5 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Kellie Kershisnik among 3,985 family medicine physician records in Minnesota
Kellie Kershisnik, MD is one of 3,985 family medicine physician records with a practice address in Minnesota. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 12% of them.
- NPI issued2006 · 12% of these records are older, 42% newer
- In a Medicare fileYes · 74% of these records are
- In the CMS Doctors and Clinicians fileNo · 62% of these records are
- Record last updated2026 · 63% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
10 family medicine physician records list a practice address in Lino Lakes
They are 10 of the 135 NPPES records with a practice address in Lino Lakes, and 3,985 family medicine physician records in Minnesota.
All 3,985 in Minnesota → Every provider in Lino Lakes → Family Medicine Physician nationwide →
The 8 family medicine physician records with the nearest ZIP codes
- Stephanie Bailey, M.D.Lino Lakes, MN 550141174747018
- Christine Broszko, M.D.Lino Lakes, MN 550141831502889
- Tara ColeLino Lakes, MN 550141063465458
- Scott Moses, MDLino Lakes, MN 550141508817149
- Khanh Nguyen, DOLino Lakes, MN 550141841261088
- Emily RockLino Lakes, MN 550141225786874
- Steven Slatten, MDLino Lakes, MN 550141215902861
- Loren Wilkes, MDLino Lakes, MN 550141619929395
Common questions
What is Kellie Kershisnik, MD's NPI number?
Kellie Kershisnik, MD's National Provider Identifier (NPI) is 1629029566, issued on May 15, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Kellie Kershisnik, MD located?
The NPPES record lists a practice address at 7455 Village Dr, Lino Lakes, MN, 55014. Phone: (651) 717-3400. Providers update this record themselves, so call before visiting.
How can I verify Kellie Kershisnik, MD's license?
NPPES lists Minnesota license number 38004, as entered by the provider. Search the Minnesota Board of Medical Practice at https://mn.gov/boards/medical-practice/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
What is Kellie Kershisnik, MD's MIPS final score?
The 2023 MIPS final score is 86.5 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
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.