Kelly Glynn, CPNP
NPI 1104550680 · Pediatric Nurse Practitioner · Minneapolis, MN
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Glynn, CPNP is a Pediatric Nurse Practitioner provider in Minneapolis, MN (NPI 1104550680).
Provider details
- NPI number
- 1104550680
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP
- Sex
- Female
- Sole proprietor
- No
- License
- 9300 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-07-12
- Last updated
- 2025-02-25
- Certified
- 2025-02-25
Frequently asked questions
- What is Kelly Glynn's NPI number?
- Kelly Glynn's National Provider Identifier (NPI) is 1104550680, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Glynn's specialty?
- Kelly Glynn is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kelly Glynn located?
- Kelly Glynn's practice location on file with NPPES is 2530 Chicago Ave, Minneapolis, MN 55404-4289.
- What is Kelly Glynn's phone number?
- The practice phone number listed in the NPPES registry for Kelly Glynn is (612) 813-8000.
- Does Kelly Glynn accept Medicare?
- Kelly Glynn is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Glynn's NPI active?
- Yes — Kelly Glynn's NPI (1104550680) is active in the NPPES registry as of the last update on 2025-02-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.