KELSIE JANE DANCHERTSEN OTR/L
NPI 1639882111
Occupational Therapist - Pediatrics in Maplewood, MN
About Kelsie Jane Danchertsen Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELSIE JANE DANCHERTSEN OTR/L (NPI 1639882111) is an individual pediatrics provider in Maplewood, Minnesota and active in the NPI registry since December 2022.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelsie Jane Danchertsen Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelsie Danchertsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Maplewood, MN 55109
- Reassigned Medicare billing, Minnesota enrollment
- 20 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.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MAPLEWOOD, MN 55109
MAPLEWOOD, MN 55109
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 Kelsie Danchertsen's NPI number?
The NPI number for Kelsie Danchertsen is 1639882111. It was assigned to this individual provider in the NPPES registry on December 29, 2022.
Where is Kelsie Danchertsen located?
Kelsie Danchertsen practices at 2495 Maplewood Dr N Ste 313, Maplewood, MN 55109. The listed phone number is (651) 770-8884.
What is Kelsie Danchertsen's specialty?
The primary specialty registered for this NPI is Occupational Therapist, specializing in Pediatrics, with taxonomy code 225XP0200X.
Is Kelsie Danchertsen enrolled in Medicare?
Yes. Kelsie Danchertsen is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelsie Danchertsen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsie Danchertsen reassigns Medicare benefits to Functional Integrated Therapy, Ltd (Maplewood, MN). The 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 Kelsie Danchertsen'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 Kelsie Danchertsen was last updated on December 29, 2022. 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.