KELSEY MAE DOCKENDORF CNP
NPI 1679250385
Nurse Practitioner - Family in Staples, MN

Q: What is Kelsey Dockendorf's NPI number?

The NPI number for Kelsey Dockendorf is 1679250385. It was assigned to this individual provider in the NPPES registry on July 4, 2023.

Q: What is Kelsey Dockendorf's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelsey Dockendorf was last updated on July 13, 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.

Active since July 04, 2023PECOS Enrolled

49725 COUNTY 83, STAPLES, MN 56479(320) 248-5083 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2023, Jul 4, 2023 (2 updates tracked since 2023).

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About Kelsey Mae Dockendorf Cnp NPPES

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

KELSEY MAE DOCKENDORF CNP (NPI 1679250385) is an individual family provider in Staples, Minnesota, licensed in Minnesota (10392) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, is affiliated with Ortonville Area Health Services, and is a graduate of University Of North Dakota School Of Medicine (2023).

NPPES Registry Identity

NPI1679250385

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELSEY MAE DOCKENDORFCredential: CNP

Location Address49725 COUNTY 83Staples, MN 56479-5280

Mailing Address16101 Wilderness DrStaples, MN 56479-3127 · (320) 248-5083

Phone(320) 248-5083

Sole ProprietorYes

Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2023

Enumeration DateJuly 4, 2023

Last NPPES UpdateJuly 13, 20232 updates tracked since enumeration

NPPES CertifiedJuly 13, 2023

✔ NPI 1679250385 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 MN · 10392

49725 COUNTY 83, Staples, MN 56479

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey Mae Dockendorf Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547614786

PECOS Enrollment IDI20260512002799

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.

Hospital Affiliations CMS Care Compare 2

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

Ortonville Area Health Services

Critical Access Hospitals · Ortonville, MN

OwnershipGovernment - Local

CMS Certification Number241342

Location450 Eastvold AveOrtonville, MN 56278 · Big Stone County

Emergency services Birthing friendly

Perham Health

Critical Access Hospitals · Perham, MN

OwnershipGovernment - Hospital District or Authority

CMS Certification Number241373

Location1000 Coney Street WestPerham, MN 56573 · Otter Tail County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56479 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.

Other Providers at the Same Location NPPES 20

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

LAKEWOOD HEALTH SYSTEM

Durable Medical Equipment & Medical Supplies