KELSEY WESTERN
NPI 1255894416
Family Medicine in Cannon Falls, MN
About Kelsey Western NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELSEY WESTERN (NPI 1255894416) is an individual family medicine provider in Cannon Falls, Minnesota, licensed in Minnesota (72682) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Eau Claire.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelsey Western is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kelsey Western reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cannon Falls, MN 55009
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1063435410 (Minnesota)
- 1,571 clinicians in this Medicare group
Lake City, MN 55041
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1164463659 (Minnesota)
- 675 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 55009 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
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 Kelsey Western's NPI number?
The NPI number for Kelsey Western is 1255894416. It was assigned to this individual provider in the NPPES registry on April 12, 2019. The provider is also known as Kelsey Thon.
Where is Kelsey Western located?
Kelsey Western practices at 32021 Country 24 Blvd, Cannon Falls, MN 55009. The listed phone number is (507) 263-4221.
What is Kelsey Western's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kelsey Western enrolled in Medicare?
Yes. Kelsey Western is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kelsey Western's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Western reassigns Medicare benefits to 2 organizations: Mayo Clinic Health System-Southeast Minnesota Region (Cannon Falls, MN) and Mayo Clinic Health System-Lake City (Lake City, MN). Each 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 Western's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kelsey Western was last updated on October 5, 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.
# Kelsey Western · NPI 1255894416
Family Medicine physician in Cannon Falls, Minnesota. Individual provider, active in the CMS NPPES registry since April 12, 2019.
## Identity
- **NPI:** 1255894416 (Entity type: Individual)
- **Enumerated:** April 12, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 72682 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 32021 COUNTRY 24 BLVD, Cannon Falls, MN 55009
- **Phone:** (507) 263-4221
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mayo Clinic Health System-Southeast Minnesota Region (NPI 1497281695, Cannon Falls, MN); Mayo Clinic Health System-Lake City (NPI 1538113022, Lake City, MN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 5, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1255894416) · Data from the CMS NPPES public registry.