DR. KELSIE HENDRICKSON PH.D.
NPI 1205203064
Psychologist - Clinical in Twin Falls, ID
About Dr. Kelsie Hendrickson Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KELSIE HENDRICKSON PH.D. (NPI 1205203064) is an individual clinical provider in Twin Falls, Idaho, licensed in Idaho (203021) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Twin Falls, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Kelsie Hendrickson Ph.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Kelsie Hendrickson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Twin Falls, ID 83301
- Reassigned Medicare billing, Idaho enrollment
- Medicare enrollment name: St Lukes Clinic LLC
- 322 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kelsie Hendrickson's NPI number?
The NPI number for Kelsie Hendrickson is 1205203064. It was assigned to this individual provider in the NPPES registry on August 27, 2015.
Where is Kelsie Hendrickson located?
Kelsie Hendrickson practices at 550 Polk St, Twin Falls, ID 83301. The listed phone number is (208) 814-9100.
What is Kelsie Hendrickson's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Kelsie Hendrickson enrolled in Medicare?
Yes. Kelsie Hendrickson 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.
Which organization bills Medicare for Kelsie Hendrickson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsie Hendrickson reassigns Medicare benefits to St Luke's Clinic LLC (Twin Falls, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelsie Hendrickson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelsie Hendrickson accept?
Health plans from Select Health list Kelsie Hendrickson 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 Kelsie Hendrickson was last updated on January 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Kelsie Hendrickson, PH.D. · NPI 1205203064
Clinical provider in Twin Falls, Idaho. Individual provider, active in the CMS NPPES registry since August 27, 2015.
## Identity
- **NPI:** 1205203064 (Entity type: Individual)
- **Enumerated:** August 27, 2015
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 203021 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 550 POLK ST, Twin Falls, ID 83301-3916
- **Phone:** (208) 814-9100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** St Luke's Clinic LLC (NPI 1790718229, Twin Falls, ID), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** January 13, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1205203064) · Data from the CMS NPPES public registry.