KELLY B FANDEL M.D.
NPI 1487699179
Pediatrics in St Cloud, MN

NPI Status: Active since June 18, 2006

Contact Information

1900 CENTRACARE CIRCLE
CENTRACARE CLINIC - WOMENS & CHILDRENS
ST CLOUD, MN
ZIP 56303
Phone: (320) 654-3630

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  • Individual
  • Female
  • Pediatrics
  • Accepts Insurance

About KELLY FANDEL

This page provides the complete NPI Profile along with additional information for Kelly Fandel, a pediatrician established in St Cloud, Minnesota with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1487699179 assigned on June 2006. The practitioner's primary taxonomy code is 208000000X with license number 40924 (MN). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1487699179
Provider Name
KELLY B FANDEL M.D.
Other Name
KELLY FLANAGAN
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
1900 CENTRACARE CIRCLE CENTRACARE CLINIC - WOMENS & CHILDRENS ST CLOUD, MN 56303
Location Phone
(320) 654-3630
Mailing Address
1900 CENTRACARE CIRCLE CENTRACARE CLINIC - WOMENS & CHILDRENS ST CLOUD, MN 56303
Mailing Phone
(320) 654-3630
Is Sole Proprietor?
No
Enumeration Date
06-18-2006
Last Update Date
08-27-2008
Code Navigator

A pediatrician like Kelly Fandel is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
40924
License State
MN
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Atlas $1,300 Gold - PPO
  • Atlas $2,000 Standard Gold - PPO
  • Atlas $3,050 Plus Silver - PPO
  • Atlas $3,800 HSA Silver - PPO
  • Atlas $6,000 Standard Silver - PPO
  • Atlas $6,800 Plus Bronze HSA - PPO
  • Atlas $7,500 Standard Bronze HSA - PPO
  • Atlas $8,400 HSA Bronze - PPO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze HSA - EPO
  • Medica Individual Choice Bronze Share - EPO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - EPO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - EPO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - EPO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - EPO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - EPO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - EPO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - EPO
  • Medica Individual Choice Silver Standard - HMO
  • Sanford Individual Simplicity $1,750 - PPO
  • Sanford Individual Simplicity $10,600 - PPO
  • Sanford Individual Simplicity $3,500 - PPO
  • Sanford Individual Simplicity $4,750 - PPO
  • Sanford Individual Simplicity $6,500 - PPO
  • Sanford Individual Simplicity $7,200 HSA Qualified - PPO
  • Sanford Individual Simplicity Standardized $2,000 - PPO
  • Sanford Individual Simplicity Standardized $6,000 - PPO
  • Sanford Individual Simplicity Standardized $7,500 - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
H03758MEDICARE UPIN (02)MN 
372219800MEDICAID (05)MN 
370001962MEDICARE ID-TYPE UNSPECIFIED (04)MN 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1487699179, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
7
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 6 → 12 → 3 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 6 + 7 + 1 + 2 + 9 + 1 + 8 + 1 + 1 + 4 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1487699179.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics
1900 CENTRACARE CIRCLE, CENTRACARE CLINIC WOMENS & CHILDRENS
ST CLOUD, MN 56303
Family Medicine
1900 CENTRACARE CIRCLE
ST CLOUD, MN 56303
Obstetrics & Gynecology
1900 CENTRACARE CIRCLE
ST CLOUD, MN 56303
Pediatrics
1900 CENTRACARE CIRCLE
ST CLOUD, MN 56303
Nurse Practitioner (Family)
1900 CENTRACARE CIRCLE, CENTRACARE CLINIC - HEALTH PLAZA SPECIALTIES
ST CLOUD, MN 56303
Psychiatry & Neurology (Psychiatry)
1900 CENTRACARE CIRCLE, CENTRACARE HEALTH PLAZA
ST CLOUD, MN 56303
Psychologist
1900 CENTRACARE CIRCLE
ST CLOUD, MN 56303
Psychiatry & Neurology (Psychiatry)
1900 CENTRACARE CIRCLE, CENTRACARE HEALTH PLAZA
ST CLOUD, MN 56303
Psychiatry & Neurology (Psychiatry)
1900 CENTRACARE CIRCLE, CENTRACARE HEALTH PLAZA
ST CLOUD, MN 56303
Psychiatry & Neurology (Psychiatry)
1900 CENTRACARE CIRCLE, CENTRACARE HEALTH PLAZA
SAINT CLOUD, MN 56303
Psychologist (Clinical)
1900 CENTRACARE CIRCLE, CENTRACARE HEALTH PLAZA
ST CLOUD, MN 56303
Psychologist (Clinical)
1900 CENTRACARE CIRCLE, CENTRACARE HEALTH PLAZA
ST CLOUD, MN 56303
Psychologist
1900 CENTRACARE CIRCLE
ST CLOUD, MN 56303
Psychologist (Clinical Child & Adolescent)
1900 CENTRACARE CIRCLE
ST CLOUD, MN 56303
Psychologist (Clinical Child & Adolescent)
1900 CENTRACARE CIRCLE
ST CLOUD, MN 56303
Internal Medicine
1900 CENTRACARE CIRCLE, CENTRACARE CLINIC HEALTH PLAZA INTERNAL MEDICINE
ST CLOUD, MN 56303
Obstetrics & Gynecology
1900 CENTRACARE CIRCLE
ST CLOUD, MN 56303
Psychologist (Clinical Child & Adolescent)
1900 CENTRACARE CIRCLE
ST CLOUD, MN 56303
Psychologist
1900 CENTRACARE CIRCLE, CENTRACARE HEALTH PLAZA
ST CLOUD, MN 56303
Physician Assistant (Medical)
1900 CENTRACARE CIRCLE, CENTRACARE CLINIC
ST CLOUD, MN 56303

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487699179, enumerated as an "individual" on June 18, 2006.

The provider is located at 1900 CENTRACARE CIRCLE CENTRACARE CLINIC - WOMENS & CHILDRENS ST CLOUD, MN 56303 and the phone number is (320) 654-3630.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: HealthPartners, Medica, Sanford Health Plan,. Please consult your insurance carrier or call the provider to verify.