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

Active since July 04, 2023PECOS EnrolledAccepts Medicare Assignment
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: October 25, 2026.

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

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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Sanford Health Plan, Security Health Plan and more.Insurance ›

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

Kelsey Mae Dockendorf 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 ID547614786
PECOS Enrollment IDI20230921003688
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 Kelsey Dockendorf reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lakewood Health System
Same address
Critical Access
49725 COUNTY 83
Staples, MN 56479
  • Reassigned Medicare billing, Minnesota enrollment
  • 136 clinicians in this Medicare group
NPI 1124019054 (218) 894-1515
St Mary's Regional Health Center
33 mi
Rural Health
212 ASPEN AVE NE
Menahga, MN 56464
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: St Marys Regional Health Center
  • 254 clinicians in this Medicare group
NPI 1467798322 (218) 564-4131
Perham Hospital District
43 mi
Family Medicine
665 3RD ST SW
Perham, MN 56573
  • Reassigned Medicare billing, Minnesota enrollment
  • 69 clinicians in this Medicare group
NPI 1457631814 (218) 347-1200
Ortonville Area Health Services
109 mi
Critical Access
450 EASTVOLD AVE
Ortonville, MN 56278
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1477799765 (Minnesota)
  • 18 clinicians in this Medicare group
NPI 1790783587 (320) 839-2502
Greeley County Health Services, Inc
625 mi
Primary Care
104 E 4TH ST
Sharon Springs, KS 67758
  • Reassigned Medicare billing, Kansas enrollment
  • 17 clinicians in this Medicare group
NPI 1316010317 (785) 852-4230

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 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
49725 COUNTY 83
STAPLES, MN 56479
Todd County (218) 894-1515
KELLY VANVICKLE
Nurse Practitioner (Women's Health)
49725 COUNTY 83
STAPLES, MN 56479
Todd County (218) 894-1515
MARISSA ELIZABETH BAUMGARTNER PA-C
Physician Assistant
49725 COUNTY 83
STAPLES, MN 56479
Todd County (218) 894-1515
JORDAN ROBERT MOE M.D.
Family Medicine
49725 COUNTY 83
STAPLES, MN 56479
Todd County (218) 894-1515
KYLIE OLSON
Speech-Language Pathologist
49725 COUNTY 83
STAPLES, MN 56479
Todd County (218) 894-8427
GERALD WAYNE HENRICKSON MD
Family Medicine
49725 COUNTY 83
STAPLES, MN 56479
Todd County (218) 894-1515
LUANN ANNETTE GAMMON LICSW
Social Worker (Clinical)
49725 COUNTY 83
STAPLES, MN 56479
Todd County (218) 894-1515
PAIGE MARIE CARLSON MD
Internal Medicine
49725 COUNTY 83
STAPLES, MN 56479
Todd County (218) 894-1515

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 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.

Where is Kelsey Dockendorf located?

Kelsey Dockendorf practices at 49725 County 83, Staples, MN 56479. The listed phone number is (320) 248-5083.

What is Kelsey Dockendorf's specialty?

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

Is Kelsey Dockendorf enrolled in Medicare?

Yes. Kelsey Dockendorf 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 Kelsey Dockendorf's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Dockendorf reassigns Medicare benefits to 5 organizations: Lakewood Health System (Staples, MN), St Mary's Regional Health Center (Menahga, MN), Perham Hospital District (Perham, MN), Ortonville Area Health Services (Ortonville, MN) and Greeley County Health Services, Inc (Sharon Springs, KS). 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 Kelsey Dockendorf's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelsey Dockendorf accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc., Sanford Health Plan, Security Health Plan and UnitedHealthcare list Kelsey Dockendorf 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 Kelsey Dockendorf affiliated with any hospitals?

According to CMS data, Kelsey Dockendorf is affiliated with Ortonville Area Health Services and Perham Health.

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.