KELLY JO MCDERMOTT
NPI 1114386794
Nurse Practitioner - Family in Mitchell, SD

Active since February 11, 2016PECOS EnrolledAccepts Medicare Assignment
525 N FOSTER ST, MITCHELL, SD 57301(605) 995-5701(605) 995-5700 Get Directions Write a Review

NPPES record last updated: February 11, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Jo Mcdermott NPPES

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

KELLY JO MCDERMOTT (NPI 1114386794) is an individual family provider in Mitchell, South Dakota, licensed in South Dakota (CP001027) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS, is affiliated with Huron Regional Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1114386794
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY JO MCDERMOTT
Location Address525 N FOSTER STMitchell, SD 57301-2966
Mailing Address525 N Foster StMitchell, SD 57301-2966 · (605) 995-5701 · Fax (605) 995-5700
Fax(605) 995-5700
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 11, 2016
NPI 1114386794 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 SD · CP001027
525 N FOSTER ST, Mitchell, SD 57301

Other Names 1

Former Name (1)Kelly Jo Kretchmer Cnp

Accepted 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

Kelly Jo Mcdermott 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 ID7214226430
PECOS Enrollment IDI20160511001762
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

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
264 services120 patients

Hospital Affiliations CMS Care Compare

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

Huron Regional Medical Center

Critical Access Hospitals · Huron, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431335
Location172 Fourth Street SEHuron, SD 57350 · Beadle County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57301 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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.

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.

Internal Medicine
525 N FOSTER ST
MITCHELL, SD 57301
Registered Nurse
525 N FOSTER ST
MITCHELL, SD 57301
Specialist
525 N FOSTER ST
MITCHELL, SD 57301
Radiology (Diagnostic Radiology)
525 N FOSTER ST
MITCHELL, SD 57301
Obstetrics & Gynecology
525 N FOSTER ST
MITCHELL, SD 57301
Nurse Anesthetist, Certified Registered
525 N FOSTER ST
MITCHELL, SD 57301
Nurse Practitioner (Family)
525 N FOSTER ST
MITCHELL, SD 57301
Occupational Therapist
525 N FOSTER ST
MITCHELL, SD 57301

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 Mcdermott's NPI number?

The NPI number for Kelly Mcdermott is 1114386794. It was assigned to this individual provider in the NPPES registry on February 11, 2016. The provider is also known as Kelly Jo Kretchmer Cnp.

Where is Kelly Mcdermott located?

Kelly Mcdermott practices at 525 N Foster St, Mitchell, SD 57301. The listed phone number is (605) 995-5701.

What is Kelly Mcdermott's specialty?

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

Is Kelly Mcdermott enrolled in Medicare?

Yes. Kelly Mcdermott 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 Mcdermott accept?

Health plans from Avera Health Plans and Sanford Health Plan list Kelly Mcdermott 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 Mcdermott affiliated with any hospitals?

According to CMS data, Kelly Mcdermott is affiliated with Huron Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Kelly Mcdermott was last updated on February 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.