KELLY J GUNDERSON CNP
NPI 1821654393
Nurse Practitioner - Psychiatric/Mental Health in Sartell, MN

Q: What is Kelly Gunderson's NPI number?

The NPI number for Kelly Gunderson is 1821654393. It was assigned to this individual provider in the NPPES registry on May 10, 2019.

Q: What is Kelly Gunderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Gunderson was last updated on May 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 May 10, 2019PECOS EnrolledAccepts Medicare Assignment

92.77/100

CMS Quality Rating

101 DEHLER DR, SARTELL, MN 56377(320) 253-3512 Get Directions Write a Review

NPPES record last updated: May 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2019, May 10, 2019 (2 updates tracked since 2019).

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About Kelly J Gunderson Cnp NPPES

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

KELLY J GUNDERSON CNP (NPI 1821654393) is an individual psychiatric/mental health provider in Sartell, Minnesota, licensed in Minnesota (6573) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1821654393

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKELLY J GUNDERSONCredential: CNP

Location Address101 DEHLER DRSartell, MN 56377-4407

Mailing Address1900 Silver Lake Rd NwNew Brighton, MN 55112-1786 · (651) 628-9566 · Fax (651) 628-0411

Phone(320) 253-3512

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMay 10, 2019

Last NPPES UpdateMay 21, 20192 updates tracked since enumeration

✔ NPI 1821654393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MN · 6573

101 DEHLER DR, Sartell, MN 56377

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Providence 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 and accepts Medicare assignment

Kelly J Gunderson 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 ID5890028468

PECOS Enrollment IDI20190613001449

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.

214 services79 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

91 services58 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

63 services54 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56377 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.

92.77/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

60.09

Promoting Interoperability

Improvement Activities

Cost

100

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment

99%289 patients

Breast Cancer Screening

0%100 patients1/55-star benchmark: 93%

Cervical Cancer Screening

0%331 patients1/55-star benchmark: 98%

Chlamydia Screening for Women

0%29 patients

Colorectal Cancer Screening

0%216 patients1/55-star benchmark: 88%

Controlling High Blood Pressure

5%20 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

58%2,337 patients2/55-star benchmark: 100%

e-Prescribing

100%2,027 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%57 patients1/55-star benchmark: 100%

HIV Screening

0%612 patients1/55-star benchmark: 60%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

3%728 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

100%100 patients5/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

3%2,257 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 13% · 643 patients

Patients screened: 17% · 643 patients

26%34 patients2/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

99%464 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

100%20 patients5/55-star benchmark: 91%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DEBORAH RUTH MALCHOW MSW, LICSW

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