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

Kelly Ann Cole, PA

Individual provider Physician Assistant · NPI 1891219507

Kelly Ann Cole, PA is a Physician Assistant in Saint Paul, Minnesota. Qualified in 2017, 9 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and Minnesota.

Years since qualifying
9
Licensed in
IN, MN
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

640 Jackson St
Saint Paul, MN 55101-2502
Phone: (952) 967-7977
Fax: (651) 254-7990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7900 W Jefferson Blvd Ste 306, Fort Wayne, IN 46804-4128 — (260) 458-3610

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15362 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 10002268A (IN)

Record details

NPI number1891219507
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 3, 2017
Last updated in NPPESDecember 23, 2025
Certification dateDecember 23, 2025

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 Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Saint Paul