Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023478146 Individual Practitioner Male Practitioner

Kyle Robert Elliott , NP

Nurse Practitioner • Saint James, MN

Professional Overview & Biography Verified Profile Summary

Kyle Elliott, NP is a registered healthcare professional specializing in Nurse Practitioner in Saint James, MN. Practice services are available at 1101 MOULTON AND PARSONS DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1101 Moulton And Parsons Dr

Saint James, MN 560815550

Telephone 5073753261
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Saint James, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
2 Specialists

Practicing in Saint James, MN (2609 Statewide)

Telehealth Adoption Rate
0.0% 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: 2020-10-26
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MN CNP 4392

(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 - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License WI 6832-33

Definition to come...

Nurse Practitioner - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License MN CNP 4392

Definition to come...

Secondary Practice Locations

200 1st St Sw

Rochester, MN 559050001

Phone: 5072842511

Practice Associates & Co-Workers

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

4 Associated Practitioners
Cinda Wallace , NP

Nurse Practitioner - Family

NPI 1003899535

Nurse Practitioner

Lori Sodeman , LICSW

Social Worker - Clinical

NPI 1104719376

Licensed Independent Clinical Social Worker

NPI 1184608671

Doctor of Osteopathic Medicine (D.O.)

Yvonne Gratz , NURSE PRACTITIONER

Nurse Practitioner - Family

NPI 1881845683

NURSEPRACTITIONER

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location October 26, 2020

Registered at 1101 MOULTON AND PARSONS DR, SAINT JAMES, MN 560815550 (Tel: 5073753261)

NPI Profile Active February 15, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address February 15, 2017

Registered at 200 1ST ST SW, ROCHESTER, MN 559050001 (Tel: 5072842511)

📍
Updated Practice Location February 15, 2017

Registered at 200 1ST ST SW, ROCHESTER, MN 559050001 (Tel: 5072842511)

👤
Provider Name / Credentials Updated February 15, 2017

Recorded as KYLE ELLIOTT, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2017

Nurse Practitioner (License #CNP 4392 in MN)

NPI Profile Active March 02, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 02, 2016

Registered at 200 1ST ST SW, ROCHESTER, MN 559050001 (Tel: 5072842511)

📍
Updated Business Mailing Address March 02, 2016

Registered at 3295 PORTAGE CIR NW, ROCHESTER, MN 559015666 (Tel: 4792879913)

👤
Provider Name / Credentials Updated March 02, 2016

Recorded as KYLE ELLIOTT, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2016

Nurse Practitioner (License #CNP 4392 in MN)

🟢
Initial NPI Registration & Enumeration March 02, 2016

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: 1023478146
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 02, 2016
Last Update: October 26, 2020
Sole Proprietor: No

Mailing Address

200 1st St Sw

Rochester, MN 559050001

Phone: 5072842511

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.