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

Kelsi Jo George

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1942833496

Kelsi Jo George is a Physician Assistant in Maple Grove, Minnesota. Qualified in 2020, 6 years ago. Practices with Mngi Digestive Health PA, a 277-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
6
Licensed in
MN
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

10150 Niagara Ln N
Maple Grove, MN 55369-7588
Phone: (612) 871-1145
Fax: (612) 870-5491
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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 13433 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1942833496
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 12, 2020
Last updated in NPPESAugust 24, 2023
Certification dateAugust 24, 2023
Mailing addressPo Box 14909, Minneapolis, MN 55414-0909

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mngi Digestive Health Pa — 277 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

Other providers in Maple Grove