Doctor profile · Federal record
Dr. Kelly Dziedzic, PA-C
Physician Assistant · Burnsville, MN
- NPI 1568437879
- Accepts Medicare
- 24 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1000 W 140Th St Unit 201
Burnsville, MN 553374833
(952) 808-3000
fax (952) 808-3001 - Additional location
-
2090 Woodwinds Dr
Woodbury, MN 551252522
(651) 968-5801
fax (651) 968-5899 - Mailing address
-
710 Commerce Dr Ste 200
Woodbury, MN 551254925
Credentials & registration
- NPI registered
- February 2006 — 20 yrs on file
- Profile last updated
- January 2, 2019
- Year of graduation
- 2002 — 24 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Minnesota #9792
- Medicaid
- MN #205559700
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1568437879. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
51
Distinct HCPCS
2
Medicare allowed
$4,297
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 29 | 28 | $100 | |
99221 |
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 22 | 22 | $63 |
In context: peer comparison
Among 27 peers in this city , average services per provider: 71. This provider delivers 0.7× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
34
Patients
33
Total drug cost
$187
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Oxycodone Hcl | Generic | 34 | 33 | $187 |
Hospital affiliations
Frequently asked questions
What is Dr. Kelly Dziedzic's medical specialty?
Dr. Kelly Dziedzic practices Physician Assistant in Burnsville, MN.
Where does Dr. Kelly Dziedzic practice?
Dr. Kelly Dziedzic practices at 1000 W 140Th St Unit 201, Burnsville, MN 553374833. Office phone: 9528083000.
What is Dr. Kelly Dziedzic's NPI?
Dr. Kelly Dziedzic's National Provider Identifier (NPI) is 1568437879, issued by NPPES.
Does Dr. Kelly Dziedzic accept Medicare assignment?
Yes. Dr. Kelly Dziedzic accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kelly Dziedzic commonly perform?
Top Medicare-reported procedures in 2023: Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222); Initial hospital care with straightforward or low level of medical decision making (HCPCS 99221). Source: CMS Medicare Physician & Other Practitioners file.