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

Kelli Jean Penrose, PA, ATC

Individual provider Athletic Trainer · NPI 1740435551

Kelli Jean Penrose, PA, ATC is a Physician Assistant in Sartell, Minnesota. Qualified in 2008, 18 years ago. Practices with St Cloud Orthopedic Associates Ltd, a 44-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
18
Licensed in
MN
In the registry since
2008
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1901 Connecticut Ave S
Sartell, MN 56377-2554
Phone: (320) 259-4100
Fax: (320) 259-8044
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3315 Roosevelt Rd Ste 200b, Saint Cloud, MN 56301-9687 — (320) 259-4100

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (MN)
Athletic Trainer Taxonomy 2255A2300X (MN)

Record details

NPI number1740435551
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA , ATC
Sole proprietorNo
NPI enumeratedNovember 20, 2008
Last updated in NPPESMay 20, 2020
Certification dateMay 20, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice St Cloud Orthopedic Associates Ltd — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients107
Services billed 1,383 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $145 3 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at St Cloud Orthopedic Associates Ltd

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 44 clinicians in the practice; 12 are shown here.

Other providers in Sartell