Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033610100 Individual Practitioner Female Practitioner

Kelly Ann Callis , ARNP FNP-C

Nurse Practitioner • Minnetonka, MN

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Kelly Callis, ARNP FNP-C is a registered healthcare professional specializing in Nurse Practitioner in Minnetonka, MN. Official NPI practice address is registered at 9900 BREN RD E.

Practice Location & Contact Primary Location

Practice Address

9900 Bren Rd E

Minnetonka, MN 553439664

Telephone 9417252171
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Minnetonka, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.3 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
82 Specialists

Practicing in Minnetonka, MN (2609 Statewide)

Telehealth Adoption Rate
2.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-06-26
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL ARNP9311654

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License FL 9311654

Definition to come...

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003059478

NURSEPRACTITIONER

Alane Hartlage , NP

Nurse Practitioner - Gerontology

NPI 1003086703

Nurse Practitioner

Dawn Schaefer , NP

Nurse Practitioner

NPI 1003183880

Nurse Practitioner

Mellen Townsend

Nurse Practitioner - Family

NPI 1003462284
Raul Rodriguez , FNP

Nurse Practitioner - Family

NPI 1013261379

Family Nurse Practitioner

Karry Audain , APRN

Nurse Practitioner - Family

NPI 1013338441

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location June 26, 2020

Registered at 9900 BREN RD E, MINNETONKA, MN 553439664 (Tel: 9417252171)

📍
Updated Business Mailing Address June 26, 2020

Registered at 812 60TH ST NW, BRADENTON, FL 342091407 (Tel: 9417252171)

NPI Profile Active March 12, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 12, 2018

Registered at 200 3RD AVE W STE 210, BRADENTON, FL 342058633 (Tel: 9417920340)

📍
Updated Business Mailing Address March 12, 2018

Registered at 2160 COLONIAL BLVD, FORT MYERS, FL 339071410 (Tel: 2399317342)

👤
Provider Name / Credentials Updated March 12, 2018

Recorded as KELLY CALLIS, ARNP FNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2018

Nurse Practitioner (License #9311654 in FL)

🟢
Initial NPI Registration & Enumeration February 23, 2018

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: 1033610100
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 23, 2018
Last Update: June 26, 2020
Sole Proprietor: No

Mailing Address

812 60th St Nw

Bradenton, FL 342091407

Phone: 9417252171

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.