DR. ANGELA ANN DOLALIE KELSCH FNP-C
NPI 1558799189
Nurse Practitioner - Family in Fargo, ND

Active since October 16, 2013PECOS EnrolledAccepts Medicare Assignment
4622 40TH AVE S, FARGO, ND 58104(701) 306-9590 Get Directions Write a Review

NPPES record last updated: September 15, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Angela Ann Dolalie Kelsch Fnp-c NPPES

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

DR. ANGELA ANN DOLALIE KELSCH FNP-C (NPI 1558799189) is an individual family provider in Fargo, North Dakota, licensed in North Dakota (R30711) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1558799189
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. ANGELA ANN DOLALIE KELSCHCredential: FNP-C
Location Address4622 40TH AVE SFargo, ND 58104-4394
Mailing Address4622 40th Ave SFargo, ND 58104-4394 · (701) 306-9590
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 16, 2013
Last NPPES UpdateSeptember 15, 2014
NPI 1558799189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in ND · R30711
4622 40TH AVE S, Fargo, ND 58104

Other Identifiers 2

Medicare PINN719986ND
Medicare PINN719987ND

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. Angela Ann Dolalie Kelsch Fnp-c 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 ID3274761523
PECOS Enrollment IDI20140116001863
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
42 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Essentia Health

Acute Care Hospitals · Fargo, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350070
Location3000 32nd Ave SouthFargo, ND 58104 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58104 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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606
DME-Drugs Administered Through DME · category DG006N
1 supplier13 claims780 services$6.39 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
3 suppliers27 claims810 services$0.10 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
1 supplier13 claims780 services$0.82 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers22 claims22 services$26.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
4622 40TH AVE S, SUITE A
FARGO, ND 58104
Nurse Practitioner (Family)
4622 40TH AVE S
FARGO, ND 58104
Clinic/Center (Multi-Specialty)
4622 40TH AVE S, SUITE A
FARGO, ND 58104
Optometrist
4622 40TH AVE S
FARGO, ND 58104
Nurse Practitioner (Family)
4622 40TH AVE S
FARGO, ND 58104
Physician Assistant
4622 40TH AVE S
FARGO, ND 58104
Physician Assistant
4622 40TH AVE S
FARGO, ND 58104
Clinic/Center (Urgent Care)
4622 40TH AVE S
FARGO, ND 58104

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 Angela Dolalie Kelsch's NPI number?

The NPI number for Angela Dolalie Kelsch is 1558799189. It was assigned to this individual provider in the NPPES registry on October 16, 2013.

Where is Angela Dolalie Kelsch located?

Angela Dolalie Kelsch practices at 4622 40th Ave S, Fargo, ND 58104. The listed phone number is (701) 306-9590.

What is Angela Dolalie Kelsch's specialty?

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

Is Angela Dolalie Kelsch enrolled in Medicare?

Yes. Angela Dolalie Kelsch 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 Angela Dolalie Kelsch accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Angela Dolalie Kelsch 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 Angela Dolalie Kelsch affiliated with any hospitals?

According to CMS data, Angela Dolalie Kelsch is affiliated with Sanford Medical Center Fargo and Essentia Health.

When was this NPI record last updated?

The NPPES record for Angela Dolalie Kelsch was last updated on September 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.