Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexandra Kelly

Individual provider Registered Nurse · NPI 1194489914

Alexandra Kelly is a Certified Registered Nurse Anesthetist (CRNA) in St Louis Park, Minnesota. Qualified in 2021, 5 years ago. Practices with Park Nicollet Methodist Hospital, a 112-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
5
Licensed in
MN
In the registry since
2021
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Practice location Address checks out

6500 Excelsior Blvd
St Louis Park, MN 55426-4700
Phone: (952) 993-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN2274821 (MN)

Record details

NPI number1194489914
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 27, 2021
Last updated in NPPESMarch 14, 2023
Certification dateMarch 14, 2023
Mailing address3308 Yosemite Ave S, St Louis Park, MN 55416-2142

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Park Nicollet Methodist Hospital — 112 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in St Louis Park