Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kellie Nicole Nance, PA-C

Individual provider Physician Assistant · NPI 1306347539

Kellie Nicole Nance, PA-C is a Physician Assistant in St Paul, Minnesota. Qualified in 2017, 9 years ago. Practices with Regions Hospital, a 219-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
9
Licensed in
MN
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Partly verified

Some contact details are missing from the federal record.

Regions Hospital 640 Jackson Street MS11102F
St Paul, MN 55101-2502
Phone: (952) 883-5129
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12651 (MN)

Record details

NPI number1306347539
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 22, 2018
Last updated in NPPESJanuary 11, 2023
Certification dateJanuary 11, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Regions Hospital — 219 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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