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MRS. KELLY JOHANNA DICKE APRN, CNP
NPI 1629668462
Nurse Practitioner in Rochester, MN

Active since January 26, 2021PECOS EnrolledAccepts Medicare Assignment
88.38/100
CMS Quality Rating
2355 HWY 36 W., STE. 100, ROCHESTER, MN 55905(651) 292-2000 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 16, 2021, Jan 26, 2021 (2 updates tracked since 2021).

About Mrs. Kelly Johanna Dicke Aprn, Cnp NPPES

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

MRS. KELLY JOHANNA DICKE APRN, CNP (NPI 1629668462) is an individual nurse practitioner in Rochester, Minnesota, licensed in Minnesota (7905) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1629668462
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. KELLY JOHANNA DICKECredential: APRN, CNP
Location Address2355 HWY 36 W., STE. 100Rochester, MN 55905-0001
Mailing Address2355 Hwy 36 W., Ste. 100Rochester, MN 55905-0001 · (651) 292-2000
Phone(651) 292-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 26, 2021
Last NPPES UpdateJanuary 17, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2024
✔ NPI 1629668462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MN · 7905
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 7905 (MN)
2355 HWY 36 W., Rochester, MN 55905
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Other Names 1

Former Name (1)Kelly Johanna Huneke Rn

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

Mrs. Kelly Johanna Dicke Aprn, Cnp 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 ID9638585169
PECOS Enrollment IDI20210309000993
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

5

Medicare enrollment records show Kelly Dicke reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allina Health System
36 mi
Obstetrics & Gynecology
2250 NW 26TH ST
Owatonna, MN 55060
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1972006807 (Minnesota)
  • 3,733 clinicians in this Medicare group
NPI 1548136146 (507) 451-3850
Midwest Radiology Outpatient Imaging, LLC
68 mi
Diagnostic Radiology
250 THOMPSON ST
Saint Paul, MN 55102
  • Reassigned Medicare billing, Minnesota enrollment
  • 218 clinicians in this Medicare group
NPI 1720059264 (651) 292-2000
Fairview Specialty Services
70 mi
Point of Service
1700 UNIVERSITY AVE W
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,373 clinicians in this Medicare group
NPI 1912066218 (763) 525-9919
Suburban Imaging, LLC
74 mi
Radiology
2355 HWY 36 W., STE. 100
Roseville, MN 55113
  • Reassigned Medicare billing, Minnesota enrollment
  • 219 clinicians in this Medicare group
NPI 1427008937 (651) 292-2000
Midwest Radiology, PA
74 mi
Diagnostic Radiology
2355 HWY 36 W., STE. 100
Roseville, MN 55113
  • Reassigned Medicare billing, Minnesota enrollment
  • 218 clinicians in this Medicare group
NPI 1952307175 (651) 292-2000

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 4

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

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240038
Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County
Emergency services Birthing friendly

Regions Hospital

Acute Care Hospitals · Saint Paul, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240106
Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County
Emergency services Birthing friendly

M Health Fairview St John's Hospital

Acute Care Hospitals · Maplewood, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240210
Location1575 Beam AvenueMaplewood, MN 55109 · Ramsey County
Emergency services Birthing friendly

M Health Fairview Woodwinds Hospital

Acute Care Hospitals · Woodbury, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240213
Location1925 Woodwinds DriveWoodbury, MN 55125 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55905 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.55
Improvement Activities40
Cost66.26

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 Kelly Dicke's NPI number?

The NPI number for Kelly Dicke is 1629668462. It was assigned to this individual provider in the NPPES registry on January 26, 2021. The provider is also known as Kelly Johanna Huneke Rn.

Where is Kelly Dicke located?

Kelly Dicke practices at 2355 Hwy 36 W. Ste. 100, Rochester, MN 55905. The listed phone number is (651) 292-2000.

What is Kelly Dicke's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kelly Dicke enrolled in Medicare?

Yes. Kelly Dicke 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 Kelly Dicke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Dicke reassigns Medicare benefits to 5 organizations: Allina Health System (Owatonna, MN), Midwest Radiology Outpatient Imaging, LLC (Saint Paul, MN), Fairview Specialty Services (Saint Paul, MN), Suburban Imaging, LLC (Roseville, MN) and Midwest Radiology, PA (Roseville, 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 Kelly Dicke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kelly Dicke affiliated with any hospitals?

According to CMS data, Kelly Dicke is affiliated with Allina United Hospital, Regions Hospital, M Health Fairview St John's Hospital and M Health Fairview Woodwinds Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Dicke was last updated on January 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.