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DR. KELLY ANNE POLCHER DNP, APRN, FNP-C
NPI 1104195031
Nurse Practitioner - Family in Fargo, ND

Active since December 21, 2011PECOS EnrolledAccepts Medicare Assignment
301 NP AVE N, FARGO, ND 58102(701) 271-3344(701) 271-3347 Get Directions Write a Review

NPPES record last updated: October 28, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kelly Anne Polcher Dnp, Aprn, Fnp-c NPPES

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

DR. KELLY ANNE POLCHER DNP, APRN, FNP-C (NPI 1104195031) is an individual family provider in Fargo, North Dakota, licensed in North Dakota (R30884) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1104195031
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. KELLY ANNE POLCHERCredential: DNP, APRN, FNP-C
Location Address301 NP AVE NFargo, ND 58102-4835
Mailing Address301 Np Ave NFargo, ND 58102-4835 · (701) 271-3344 · Fax (701) 271-3347
Phone(701) 271-3344
Fax(701) 271-3347
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateDecember 21, 2011
Last NPPES UpdateOctober 28, 2018
✔ NPI 1104195031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in ND · R30884
301 NP AVE N, Fargo, ND 58102
Open in Google Maps ↗

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

Dr. Kelly Anne Polcher Dnp, Aprn, Fnp-c 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 ID9335306810
PECOS Enrollment IDI20120210000808, I20250207002246
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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
63 services55 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
17 services15 patients

Hospital Affiliations CMS Care Compare

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

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58102 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers22 claims56 services$3.77 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$168.52 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ERIKA LYNNE YONEY APRN
Nurse Practitioner (Psychiatric/Mental Health)
301 NP AVE N
FARGO, ND 58102
Cass County (701) 271-3344
JENNIFER S IVERSON RPH
Pharmacist
301 NP AVE N
FARGO, ND 58102
Cass County (701) 271-1495
FAMILY HEALTH CARE CENTER
Clinic/Center (Dental)
301 NP AVE N
FARGO, ND 58102
Cass County (701) 271-3332
JILL RENEE THORSEN
Community Health Worker
301 NP AVE N
FARGO, ND 58102
Cass County (701) 271-3344
DR. BRODY MAACK PHARM.D.
Pharmacist (Ambulatory Care)
301 NP AVE N
FARGO, ND 58102
Cass County (701) 271-6363
ELIZABETH MEHUS-WALLER NP-C
Clinical Nurse Specialist (Family Health)
301 NP AVE N
FARGO, ND 58102
Cass County (701) 271-3344
FAMILY HEALTH CARE CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
301 NP AVE N
FARGO, ND 58102
Cass County (701) 271-3344
ALICIA JOY HAUFF DNP
Nurse Practitioner (Family)
301 NP AVE N
FARGO, ND 58102
Cass County (701) 271-3344

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 Polcher's NPI number?

The NPI number for Kelly Polcher is 1104195031. It was assigned to this individual provider in the NPPES registry on December 21, 2011.

Where is Kelly Polcher located?

Kelly Polcher practices at 301 Np Ave N, Fargo, ND 58102. The listed phone number is (701) 271-3344.

What is Kelly Polcher's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelly Polcher enrolled in Medicare?

Yes. Kelly Polcher 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 Kelly Polcher accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Kelly Polcher 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 Kelly Polcher affiliated with any hospitals?

According to CMS data, Kelly Polcher is affiliated with Sanford Medical Center Fargo.

When was this NPI record last updated?

The NPPES record for Kelly Polcher was last updated on October 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.