DR. KELSEY LEE HULTMAN M.D.
NPI 1760774574
Family Medicine in Forest Lake, MN

Active since May 11, 2011PECOS EnrolledAccepts Medicare Assignment
1540 LAKE ST S, FOREST LAKE, MN 55025(651) 464-7100 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kelsey Lee Hultman M.d. NPPES

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

DR. KELSEY LEE HULTMAN M.D. (NPI 1760774574) is an individual family medicine provider in Forest Lake, Minnesota, licensed in Minnesota (55319) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS, is affiliated with St Croix Regional Medical Center, and is a graduate of University Of Minnesota Medical School (2011).

NPPES Registry Identity

NPI1760774574
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KELSEY LEE HULTMANCredential: M.D.
Location Address1540 LAKE ST SForest Lake, MN 55025-2628
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-5000
Sole ProprietorYes
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2011
Enumeration DateMay 11, 2011
Last NPPES UpdateNovember 10, 2020
NPPES CertifiedNovember 10, 2020
NPI 1760774574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MN · 55319
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1540 LAKE ST S, Forest Lake, MN 55025

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. Kelsey Lee Hultman M.d. 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 ID5890941967
PECOS Enrollment IDI20120804000126, I20210125001198
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 3

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.
76 services28 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
33 services11 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
14 services12 patients

Hospital Affiliations CMS Care Compare

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

St Croix Regional Medical Center

Critical Access Hospitals · Saint Croix Falls, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521337
Location235 E State StreetSaint Croix Falls, WI 54024 · Polk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55025 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.

Referred Medical Equipment & Supplies CMS DME claims

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$2.35 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 20

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

Family Medicine
1540 LAKE ST S
FOREST LAKE, MN 55025
Psychologist
1540 LAKE ST S
FOREST LAKE, MN 55025
Dietitian, Registered
1540 LAKE ST S
FOREST LAKE, MN 55025
Family Medicine
1540 LAKE ST S
FOREST LAKE, MN 55025
Podiatrist
1540 LAKE ST S
FOREST LAKE, MN 55025
Family Medicine
1540 LAKE ST S
FOREST LAKE, MN 55025
Family Medicine
1540 LAKE ST S
FOREST LAKE, MN 55025
Family Medicine
1540 LAKE ST S
FOREST LAKE, MN 55025

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 Hultman's NPI number?

The NPI number for Kelsey Hultman is 1760774574. It was assigned to this individual provider in the NPPES registry on May 11, 2011.

Where is Kelsey Hultman located?

Kelsey Hultman practices at 1540 Lake St S, Forest Lake, MN 55025. The listed phone number is (651) 464-7100.

What is Kelsey Hultman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kelsey Hultman enrolled in Medicare?

Yes. Kelsey Hultman 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 Kelsey Hultman accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica and Security Health Plan list Kelsey Hultman 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 Hultman affiliated with any hospitals?

According to CMS data, Kelsey Hultman is affiliated with St Croix Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Kelsey Hultman was last updated on November 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.