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

Kelly Jon Hare, DR

Individual provider Certified Registered Nurse Anesthetist · NPI 1952293029

Kelly Jon Hare, DR is a Certified Registered Nurse Anesthetist (CRNA) in Plymouth, Minnesota. Qualified in 2025, 1 year ago. Practices with Metropolitan Anesthesia Network LLP, a 519-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
1
Licensed in
MN
In the registry since
2025
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Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 47159
Plymouth, MN 55447-0159
Phone: (763) 450-3986
Fax: (763) 450-3986
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 3221 (MN)

Record details

NPI number1952293029
Entity typeIndividual (Type 1)
GenderMale
Credentials DR
Sole proprietorYes
NPI enumeratedJuly 15, 2025
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025
Mailing addressPo Box 47159, Plymouth, MN 55447-0159

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Metropolitan Anesthesia Network Llp — 519 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Plymouth