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

Wesley Kelly

Individual provider Physician Assistant · NPI 1588355457

Wesley Kelly is a Physician Assistant in Woodbury, Minnesota. Qualified in 2023, 3 years ago. Practices with Summit Orthopedics, Ltd, a 280-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
3
Licensed in
MN
In the registry since
2023
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Practice location Address checks out

2090 Woodwinds Dr
Woodbury, MN 55125-2522
Phone: (651) 968-5201
Fax: (651) 968-5903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (MN)

Record details

NPI number1588355457
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 19, 2023
Last updated in NPPESOctober 23, 2025
Certification dateOctober 23, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Summit Orthopedics, Ltd — 280 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Woodbury