DR. KELSIE HENDRICKSON PH.D.
NPI 1205203064
Psychologist - Clinical in Twin Falls, ID

Active since August 27, 2015PECOS EnrolledAccepts Medicare Assignment
78.85/100
CMS Quality Rating
550 POLK ST, TWIN FALLS, ID 83301(208) 814-9100 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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

NPI1205203064
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KELSIE HENDRICKSONCredential: PH.D.
Location Address550 POLK STTwin Falls, ID 83301-3916
Mailing Address550 Polk StTwin Falls, ID 83301-3916 · (208) 814-9100
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 27, 2015
Last NPPES UpdateJanuary 13, 2022
NPPES CertifiedJanuary 13, 2022
NPI 1205203064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in ID · 203021
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
550 POLK ST, Twin Falls, ID 83301

Secondary Practice Location 1

Location 1493 Eastland DrTwin Falls, ID 83301-7441 · Phone (208) 494-6824

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

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.

PECOS PAC ID8628334232
PECOS Enrollment IDI20171115002228
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.

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.

New Patient
$160.17 typical visit price
range $52.44 – $160.17
Typical copayment $40.04 (range $13.11 – $40.04)
Most-billed visit code 99205
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

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.

78.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.58
Promoting Interoperability100
Improvement Activities40
Cost47.94

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.

Community/Behavioral Health
550 POLK ST, SUITE A
TWIN FALLS, ID 83301
Nurse Practitioner (Family)
550 POLK ST, SUITE A
TWIN FALLS, ID 83301
Pharmacist
550 POLK ST
TWIN FALLS, ID 83301
Behavior Analyst
550 POLK ST, SUITE A
TWIN FALLS, ID 83301
Family Medicine
550 POLK ST, SUITE B
TWIN FALLS, ID 83301

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.

What insurance does Kelsie Hendrickson accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan 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.