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

Marjay Kelley

Individual provider Nurse Practitioner · NPI 1811663479

Marjay Kelley is a Nurse Practitioner in St Louis Park, Minnesota. Qualified in 2020, 6 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
6
Licensed in
MN
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

3850 Park Nicollet Blvd
St Louis Park, MN 55416-2527
Phone: (952) 993-3400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 — (952) 993-5000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 8234 (MN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 8234 (MN)

Record details

NPI number1811663479
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 23, 2021
Last updated in NPPESOctober 20, 2023
Certification dateOctober 20, 2023

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)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in St Louis Park