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

Kathleen Elizabeth Pengelly, CNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1760956668

Kathleen Elizabeth Pengelly, CNP is a Nurse Practitioner in Saint Paul, Minnesota. Qualified in 2019, 7 years ago. Practices with Mental Health Resources, Inc, a 7-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
7
Licensed in
MN
In the registry since
2019
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

762 Transfer Rd Ste 21
Saint Paul, MN 55114-1489
Phone: (651) 659-2900
Fax: (651) 645-7307
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 15420 Founders Ln, Apple Valley, MN 55124-6076 — (651) 659-2900
  • 501 Highway 13 E Ste 116, Burnsville, MN 55337-2877 — (651) 681-9366

Specialties & licences

Adult Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0809X · Licence 138239-0 (MN)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 6667 (MN)

Record details

NPI number1760956668
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorYes
NPI enumeratedJanuary 15, 2019
Last updated in NPPESAugust 15, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Mental Health Resources, Inc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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