Healthcare Provider Details

I. General information

NPI: 1003737487
Provider Name (Legal Business Name): LINDSEY MAAS LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JESSIE KELLSTADT RN

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9501 248TH ST W
MORRISTOWN MN
55052-5128
US

IV. Provider business mailing address

9501 248TH ST W
MORRISTOWN MN
55052-5128
US

V. Phone/Fax

Practice location:
  • Phone: 507-339-2337
  • Fax:
Mailing address:
  • Phone: 507-339-2337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number221903-5
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number808503
License Number StateMN
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: