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KELSEY JORDAN SEDERQUEST
NPI 1053176057
Physician Assistant - Medical in Williston, ND

Active since February 19, 2024PECOS EnrolledAccepts Medicare Assignment
1301 15TH AVE W, WILLISTON, ND 58801(701) 572-7651 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelsey Jordan Sederquest NPPES

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

KELSEY JORDAN SEDERQUEST (NPI 1053176057) is an individual medical provider in Williston, North Dakota and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, is affiliated with Mckenzie County Healthcare Systems Inc, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1053176057
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKELSEY JORDAN SEDERQUEST
Location Address1301 15TH AVE WWilliston, ND 58801-3821
Mailing Address3219 Rocky Wagon StWilliston, ND 58801-2615 · (507) 440-6102
Phone(701) 572-7651
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 19, 2024
NPPES CertifiedFebruary 19, 2024
✔ NPI 1053176057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
1301 15TH AVE W, Williston, ND 58801
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelsey Jordan Sederquest is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789122250
PECOS Enrollment IDI20240814004986
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services16 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mckenzie County Healthcare Systems Inc

Critical Access Hospitals · Watford City, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351302
Location709 4th Ave NEWatford City, ND 58854 · Mckenzie County
Emergency services

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YESUL SONG
Pharmacist
1301 15TH AVE W
WILLISTON, ND 58801
Williams County (701) 774-7400
TERESA BELLIS
Physical Therapist
1301 15TH AVE W
WILLISTON, ND 58801
Williams County (701) 774-7400
STEVEN CRAIG SALCIDO M.D.
Emergency Medicine
1301 15TH AVE W
WILLISTON, ND 58801
Williams County (505) 340-6124
CHI HEALTH CONNECT AT HOME-FARGO
Home Health
1301 15TH AVE W
WILLISTON, ND 58801
Williams County (701) 774-7430
MR. ISAAC CHANDRANATH GEORGE OTR
Occupational Therapist
1301 15TH AVE W
WILLISTON, ND 58801
Williams County (701) 572-1848
NANA OFORIWAA BOATENG FNP-C
Nurse Practitioner (Family)
1301 15TH AVE W
WILLISTON, ND 58801
Williams County (701) 774-7400
JEANINE HICKS R.D.
Dietitian, Registered
1301 15TH AVE W
WILLISTON, ND 58801
Williams County (701) 774-7401
DR. KAREN M RINEHART DPM
Podiatrist
1301 15TH AVE W
WILLISTON, ND 58801
Williams County (701) 774-7400

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 Kelsey Sederquest's NPI number?

The NPI number for Kelsey Sederquest is 1053176057. It was assigned to this individual provider in the NPPES registry on February 19, 2024.

Where is Kelsey Sederquest located?

Kelsey Sederquest practices at 1301 15th Ave W, Williston, ND 58801. The listed phone number is (701) 572-7651.

What is Kelsey Sederquest's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kelsey Sederquest enrolled in Medicare?

Yes. Kelsey Sederquest is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelsey Sederquest accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Kelsey Sederquest 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.

Is Kelsey Sederquest affiliated with any hospitals?

According to CMS data, Kelsey Sederquest is affiliated with Mckenzie County Healthcare Systems Inc.

When was this NPI record last updated?

The NPPES record for Kelsey Sederquest was last updated on February 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.