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

Kelly E Pezzella, NP

Individual provider Registered Nurse · NPI 1679879241

Kelly E Pezzella, NP is a Nurse Practitioner in Minneapolis, Minnesota. Graduated from Saint Louis University School of Medicine in 2011, 15 years ago. Practices with Hennepin Healthcare System Inc, a 903-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
15
Trained at
Saint Louis University School of Medicine
Licensed in
MN
In the registry since
2011
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2810 Nicollet Ave
Minneapolis, MN 55408-4708
Phone: (612) 873-6963
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2338 (MN)
Registered Nurse Taxonomy 163W00000X · Licence R-174313-3 (MN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence R-174313-3 (MN)

Record details

NPI number1679879241
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJanuary 31, 2011
Last updated in NPPESMarch 28, 2024
Certification dateMarch 28, 2024
Mailing address701 Park Ave, Minneapolis, MN 55415-1623

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Hennepin Healthcare System Inc — 903 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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