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MISS JADE ALEXIS KELLING
NPI 1366179509
Nurse Practitioner - Family in Watford City, ND

Active since August 08, 2022PECOS EnrolledAccepts Medicare Assignment
340 N MAIN ST STE 311, WATFORD CITY, ND 58854(701) 444-2888(701) 444-2813 Get Directions Write a Review

NPPES record last updated: March 8, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 8, 2023, Aug 8, 2022 (2 updates tracked since 2022).

About Miss Jade Alexis Kelling NPPES

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

MISS JADE ALEXIS KELLING (NPI 1366179509) is an individual family provider in Watford City, North Dakota, licensed in North Dakota (F08220262) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Bismarck, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1366179509
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISS JADE ALEXIS KELLING
Location Address340 N MAIN ST STE 311Watford City, ND 58854-7308
Mailing AddressPo Box 1256Watford City, ND 58854-1256 · (701) 444-2888 · Fax (701) 444-2813
Phone(701) 444-2888
Fax(701) 444-2813
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 8, 2022
Last NPPES UpdateMarch 8, 20232 updates tracked since enumeration
NPPES CertifiedAugust 8, 2022
✔ NPI 1366179509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in ND · F08220262✔ Licensed in ND · R43520
Also ListedFamily MedicineTaxonomy 207Q00000X · License F08220262 (ND)
340 N MAIN ST STE 311, Watford City, ND 58854
Open in Google Maps ↗

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, Security 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 and accepts Medicare assignment

Miss Jade Alexis Kelling 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 ID9234505090
PECOS Enrollment IDI20221019000874
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jade Kelling reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Innovative Health
Same address
Primary Care
340 N MAIN ST STE 311
Watford City, ND 58854
  • Reassigned Medicare billing, North Dakota enrollment
  • 4 clinicians in this Medicare group
NPI 1437859782 (701) 444-2888
Sanford Bismarck
11 mi
Multi-Specialty
33 9TH ST W
Dickinson, ND 58601
  • Reassigned Medicare billing, North Dakota enrollment
  • 779 clinicians in this Medicare group
NPI 1720075377 (701) 483-6017
Mckenzie County Healthcare Systems Inc
73 mi
Critical Access
709 4TH AVE NE
Watford City, ND 58854
  • Reassigned Medicare billing, North Dakota enrollment
  • 108 clinicians in this Medicare group
NPI 1518988948 (701) 843-3771

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

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sanford Medical Center Bismarck

Acute Care Hospitals · Bismarck, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350015
Location300 N 7th StBismarck, ND 58506 · Burleigh County
Emergency services Birthing friendly

Mckenzie County Healthcare Systems Inc

Critical Access Hospitals · Watford City, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351302
Location709 4th Ave NEWatford City, ND 58854 · Mckenzie County
Emergency services

Chi St Alexius Health Dickinson

Critical Access Hospitals · Dickinson, ND
OwnershipVoluntary non-profit - Church
CMS Certification Number351336
Location2500 Fairway StreetDickinson, ND 58601 · Stark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58854 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
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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.

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.

INNOVATIVE HEALTH
Clinic/Center (Primary Care)
340 N MAIN ST STE 311
WATFORD CITY, ND 58854
McKenzie County (701) 444-2888
MISTI BREITBACH NP
Nurse Practitioner (Family)
340 N MAIN ST STE 311
WATFORD CITY, ND 58854
McKenzie County (701) 444-2888
LISA MARIE SANFORD NP
Family Medicine
340 N MAIN ST STE 311
WATFORD CITY, ND 58854
McKenzie County (701) 444-2888

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 Jade Kelling's NPI number?

The NPI number for Jade Kelling is 1366179509. It was assigned to this individual provider in the NPPES registry on August 8, 2022.

Where is Jade Kelling located?

Jade Kelling practices at 340 N Main St Ste 311, Watford City, ND 58854. The listed phone number is (701) 444-2888.

What is Jade Kelling's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jade Kelling enrolled in Medicare?

Yes. Jade Kelling 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 organizations bill Medicare for Jade Kelling's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jade Kelling reassigns Medicare benefits to 3 organizations: Innovative Health (Watford City, ND), Sanford Bismarck (Dickinson, ND) and Mckenzie County Healthcare Systems Inc (Watford City, ND). 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 Jade Kelling's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jade Kelling accept?

Health plans from Blue Cross Blue Shield of North Dakota, Sanford Health Plan and Security Health Plan list Jade Kelling 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.

Is Jade Kelling affiliated with any hospitals?

According to CMS data, Jade Kelling is affiliated with Sanford Medical Center Bismarck, Mckenzie County Healthcare Systems Inc and Chi St Alexius Health Dickinson.

When was this NPI record last updated?

The NPPES record for Jade Kelling was last updated on March 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.