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

Lauren Kennerly

Individual provider Adult Health Nurse Practitioner · NPI 1699376996

Lauren Kennerly is a Nurse Practitioner in Eagan, Minnesota. Qualified in 2020, 6 years ago. Works from 3 locations. Licensed in Alabama, Arkansas, California and Colorado and 11 more.

Years since qualifying
6
Licensed in
AL, AR, CA, CO, FL, GA
In the registry since
2020
Specialties on file
15

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 211699
Eagan, MN 55121-3699
Phone: (866) 849-0692
Fax: (888) 973-8821
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 50 Alessandro Pl Ste A20, Pasadena, CA 91105-3149 — (800) 851-0966
  • 1611 W Harrison St, Chicago, IL 60612-4861 — (312) 432-2472

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence APRN-NP335780 (GA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence C-APN.0106154-C-NP (CO)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence APRN11045621 (FL)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 5024485 (NC)
Registered Nurse Taxonomy 163W00000X · Licence 041425398 (IL)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 3-002805 (AL)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 237988 (AR)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 31849 (SC)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 95017524 (CA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 0028862 (OH)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 1231287 (TX)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence SP035463 (PA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence H189520 (IA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 908237 (MS)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 2026009163 (MO)

Record details

NPI number1699376996
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 3, 2020
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026
Mailing addressPo Box 211699, Eagan, MN 55121-3699

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Eagan