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KELSEY GOULETTE PA-C
NPI 1184199804
Physician Assistant in Fargo, ND

Active since October 09, 2018PECOS EnrolledAccepts Medicare Assignment
3345 39TH ST S STE 1, FARGO, ND 58104(509) 222-1275(509) 491-3031 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 6, 2025, Jan 23, 2019, Oct 9, 2018 (3 updates tracked since 2018).

About Kelsey Goulette Pa-c NPPES

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

KELSEY GOULETTE PA-C (NPI 1184199804) is an individual physician assistant in Fargo, North Dakota, licensed in Massachusetts (PA6761) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1184199804
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELSEY GOULETTECredential: PA-C
Location Address3345 39TH ST S STE 1Fargo, ND 58104-7539
Mailing Address500 Sw 7th St Ste A205Renton, WA 98057-2983 · (877) 522-1275 · Fax (338) 887-1458
Phone(509) 222-1275
Fax(509) 491-3031
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 9, 2018
Last NPPES UpdateMarch 6, 20253 updates tracked since enumeration
NPPES CertifiedMarch 6, 2025
✔ NPI 1184199804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MA · PA6761
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3345 39TH ST S STE 1, Fargo, ND 58104
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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 Blue Shield of North Dakota, HealthPartners 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 and accepts Medicare assignment

Kelsey Goulette Pa-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 ID3577801620
PECOS Enrollment IDI20211215002635, I20220204001046, I20220426002449, I20230301002955
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 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.
61 services28 patients
Telehealth originating site facility fee Q3014
The Telehealth originating site facility fee is a charge for the location where you receive your telehealth service, such as a clinic or hospital. It covers costs like equipment use, technical support, and other resources needed to provide a secure, effective telehealth visit.
48 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58104 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
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
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.

Other Providers at the Same Location NPPES 3

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

MS. DEBBIE RENEE LAWRENCE APRN
Nurse Practitioner (Family)
3345 39TH ST S STE 1
FARGO, ND 58104
Cass County (877) 522-1275
IDEAL OPTION, PLLC
Clinic/Center
3345 39TH ST S STE 1
FARGO, ND 58104
Cass County (877) 522-1275
TREVOR DENNIS STAVIG NP-C
Nurse Practitioner
3345 39TH ST S STE 1
FARGO, ND 58104
Cass County (877) 522-1275

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 Goulette's NPI number?

The NPI number for Kelsey Goulette is 1184199804. It was assigned to this individual provider in the NPPES registry on October 9, 2018.

Where is Kelsey Goulette located?

Kelsey Goulette practices at 3345 39th St S Ste 1, Fargo, ND 58104. The listed phone number is (509) 222-1275.

What is Kelsey Goulette's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kelsey Goulette enrolled in Medicare?

Yes. Kelsey Goulette 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 Goulette accept?

Health plans from Blue Cross Blue Shield of North Dakota, Blue Cross and Blue Shield of Montana, HealthPartners, Kaiser Permanente and Moda Health Plan, Inc. and 4 other insurers list Kelsey Goulette 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 Kelsey Goulette was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.