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

Kelsey Lynn Stevens

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1033713821

Kelsey Lynn Stevens is a Physician Assistant in Woodbury, Minnesota. Qualified in 2021, 5 years ago. Practices with Summit Orthopedics, Ltd, a 280-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
5
Licensed in
MN
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

2090 Woodwinds Dr
Woodbury, MN 55125-2522
Phone: (651) 968-5200
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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 13967 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1033713821
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 23, 2020
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Summit Orthopedics, Ltd — 280 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Woodbury