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

Dr. Kelley Puppe, APRNCNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1942756754

Dr. Kelley Puppe, APRNCNP is a Nurse Practitioner in Lake Elmo, Minnesota. Qualified in 2016, 10 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
10
Licensed in
MN
In the registry since
2016

Practice location Address checks out

8550 Hudson Blvd N
Lake Elmo, MN 55042-5500
Phone: (651) 254-8580
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence CNP 4760 (MN)

Record details

NPI number1942756754
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRNCNP
Sole proprietorNo
NPI enumeratedAugust 31, 2016
Last updated in NPPESSeptember 30, 2022
Certification dateSeptember 30, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Lake Elmo