Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649150822 Individual Practitioner Female Practitioner

Kelly Witucki , PA-C

Physician Assistant • Maplewood, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kelly Witucki, PA-C is a certified Physician Assistant practicing in Maplewood, MN. With approximately 1 years of clinical experience since completing medical education in 2025, Kelly Witucki delivers high-quality medical care to the local community at 1575 BEAM AVE.

Kelly Witucki is affiliated with Emergency Care Consultants Pa and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1575 Beam Ave

Maplewood, MN 551091126

Telephone 6512327348
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Maplewood, MN

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -7.3 yrs vs City Avg
City Avg: 8.3 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
56 Specialists

Practicing in Maplewood, MN (4026 Statewide)

Telehealth Adoption Rate
16.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Witucki (1 Years) 1 Yrs
Maplewood Specialty Average (8.3 Years) 8.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-01-22
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MN 15652

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Emergency Care Consultants Pa

1575 Beam Ave, Maplewood, MN 551091126

Phone: 6512327000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Nathan Swenson , MD

Emergency Medicine

NPI 1033590088

Doctor of Medicine (M.D.)

Dr. Jaremy Joy , DO

Emergency Medicine

NPI 1053382036

Doctor of Osteopathic Medicine (D.O.)

NPI 1053386458

Doctor of Medicine (M.D.)

Dr. Elizabeth Smith , MD

Emergency Medicine

NPI 1093376568

Doctor of Medicine (M.D.)

Dr. Brian Schroeder , MD

Emergency Medicine

NPI 1124067681

Doctor of Medicine (M.D.)

Jennifer Kipp , PA

Physician Assistant

NPI 1124077813

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location January 22, 2026

Registered at 1575 BEAM AVE, MAPLEWOOD, MN 551091126 (Tel: 6512327348)

📍
Updated Business Mailing Address January 22, 2026

Registered at 2829 UNIVERSITY AVE SE STE 730, MINNEAPOLIS, MN 554143279

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2026

Physician Assistant (License #15652 in MN)

NPI Profile Active September 06, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location September 06, 2025

Registered at 4301 W MARKHAM ST, LITTLE ROCK, AR 722057101 (Tel: 5016867211)

📍
Updated Business Mailing Address September 06, 2025

Registered at 4301 W MARKHAM ST, LITTLE ROCK, AR 722057101 (Tel: 5016867211)

👤
Provider Name / Credentials Updated September 06, 2025

Recorded as KELLY WITUCKI, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2025

Physician Assistant

🟢
Initial NPI Registration & Enumeration September 06, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649150822
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 06, 2025
Last Update: January 22, 2026
Sole Proprietor: No

Mailing Address

2829 University Ave Se Ste 730

Minneapolis, MN 554143279

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.