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

Kelly Michael Taylor, CNP

Individual provider Family Nurse Practitioner · NPI 1295289064

Kelly Michael Taylor, CNP is a Nurse Practitioner in St Louis Park, Minnesota. Qualified in 2016, 10 years ago. Practices with Hennepin County, a 132-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
10
Licensed in
MN
In the registry since
2016
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

6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Phone: (952) 993-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 800 Medical Center Dr, Fairmont, MN 56031-4575 — (507) 238-8100

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence CNP 4805 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence R 237119-3 (MN)

Record details

NPI number1295289064
Entity typeIndividual (Type 1)
GenderMale
Credentials CNP
Sole proprietorNo
NPI enumeratedAugust 10, 2016
Last updated in NPPESOctober 11, 2024
Certification dateOctober 11, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Hennepin County — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in St Louis Park