1. Home
  2. Directory
  3. North Dakota
  4. Fargo
  5. Dietitian Registered
  6. NPI Profile

KELSEY R HERRICK LRD
NPI 1215211750
Dietitian, Registered in Fargo, ND

Active since October 03, 2011
1717 UNIVERSITY DR S, FARGO, ND 58103(701) 234-2000(701) 234-2345 Get Directions Write a Review

NPPES record last updated: April 19, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kelsey R Herrick Lrd NPPES

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

KELSEY R HERRICK LRD (NPI 1215211750) is an individual dietitian, registered in Fargo, North Dakota, licensed in North Dakota (847) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1215211750
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKELSEY R HERRICKCredential: LRD
Location Address1717 UNIVERSITY DR SFargo, ND 58103-4939
Mailing AddressPo Box 2010Fargo, ND 58122-2484
Phone(701) 234-2000
Fax(701) 234-2345
Sole ProprietorNo
Enumeration DateOctober 3, 2011
Last NPPES UpdateApril 19, 2019
✔ NPI 1215211750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in ND · 847
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
1717 UNIVERSITY DR S, Fargo, ND 58103
Open in Google Maps ↗

Other Names 1

Other Name (5)Kelsey R Bratlie Lrd

Other Identifiers 1

Medicaid55920ND

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey R Herrick Lrd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Kelsey Herrick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sanford Medical Center Fargo
3.3 mi
Occupational Medicine
3838 12TH AVE N
Fargo, ND 58102
  • Reassigned Medicare billing, North Dakota enrollment
  • 1,464 clinicians in this Medicare group
NPI 1952323974 (701) 234-4700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

KATHRYN OLSON FNP
Nurse Practitioner (Family)
1717 UNIVERSITY DR S
FARGO, ND 58103
Cass County (701) 234-4111
AHMED MOHAMED ELSAYED KASSEM M.D
Ophthalmology
1717 UNIVERSITY DR S
FARGO, ND 58103
Cass County (701) 461-5100
KATAYOON BARADARAN EBRAHIMI M.D.
Ophthalmology
1717 UNIVERSITY DR S
FARGO, ND 58103
Cass County (701) 461-5100
LUIS A GARCIA MD
Surgery
1717 UNIVERSITY DR S
FARGO, ND 58103
Cass County (701) 234-2000
ETERN S PARK DDS, MD
Dentist (Oral and Maxillofacial Surgery)
1717 UNIVERSITY DR S
FARGO, ND 58103
Cass County (701) 234-2000
KATHERINE S OLSON LRD
Dietitian, Registered
1717 UNIVERSITY DR S
FARGO, ND 58103
Cass County (701) 234-2000
DR. LAUREN MARIE SCHAEFER PHD, LP
Psychologist
1717 UNIVERSITY DR S
FARGO, ND 58103
Cass County (701) 234-4111
DAARON A MCFIELD MD
Surgery
1717 UNIVERSITY DR S
FARGO, ND 58103
Cass County (701) 234-2000

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 Herrick's NPI number?

The NPI number for Kelsey Herrick is 1215211750. It was assigned to this individual provider in the NPPES registry on October 3, 2011. The provider is also known as Kelsey R Bratlie Lrd.

Where is Kelsey Herrick located?

Kelsey Herrick practices at 1717 University Dr S, Fargo, ND 58103. The listed phone number is (701) 234-2000.

What is Kelsey Herrick's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Kelsey Herrick enrolled in Medicare?

Yes. Kelsey Herrick is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelsey Herrick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Herrick reassigns Medicare benefits to Sanford Medical Center Fargo (Fargo, ND). 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 Kelsey Herrick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelsey Herrick accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Kelsey Herrick 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 Herrick was last updated on April 19, 2019. 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.