DR. KELLY LEIGH BUMGARNER DDS
NPI 1033372230
Dentist in Alexandria, MN

Q: What is Kelly Bumgarner's NPI number?

The NPI number for Kelly Bumgarner is 1033372230. It was assigned to this individual provider in the NPPES registry on July 8, 2008.

Q: What is Kelly Bumgarner's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Bumgarner was last updated on July 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 08, 2008PECOS Enrolled

2633 JEFFERSON STREET, SUITE 801, ALEXANDRIA, MN 56308(320) 762-1717 Get Directions Write a Review

NPPES record last updated: July 8, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Kelly Leigh Bumgarner Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELLY LEIGH BUMGARNER DDS (NPI 1033372230) is an individual dentist in Alexandria, Minnesota, licensed in Minnesota (D12536) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033372230

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. KELLY LEIGH BUMGARNERCredential: DDS

Location Address2633 JEFFERSON STREET, SUITE 801Alexandria, MN 56308

Mailing Address2380 County Road 9 NeNelson, MN 56355-8167 · (320) 491-4234

Phone(320) 762-1717

Sole ProprietorNo

Enumeration DateJuly 8, 2008

✔ NPI 1033372230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MN · D12536

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2633 JEFFERSON STREET, Alexandria, MN 56308

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelly Leigh Bumgarner Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56308 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Bumgarner's NPI number?

The NPI number for Kelly Bumgarner is 1033372230. It was assigned to this individual provider in the NPPES registry on July 8, 2008.

Where is Kelly Bumgarner located?

Kelly Bumgarner practices at 2633 Jefferson Street Suite 801, Alexandria, MN 56308. The listed phone number is (320) 762-1717.

What is Kelly Bumgarner's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kelly Bumgarner enrolled in Medicare?

Yes. Kelly Bumgarner is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Bumgarner accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Kelly Bumgarner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Bumgarner was last updated on July 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.