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KELLY HILDRE MSW, LICSW
NPI 1871292284
Social Worker - Clinical in Buffalo, MN

Active since February 24, 2023PECOS Enrolled
15 2ND ST NW, BUFFALO, MN 55313(763) 612-2097 Get Directions Write a Review

NPPES record last updated: February 24, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kelly Hildre Msw, Licsw NPPES

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

KELLY HILDRE MSW, LICSW (NPI 1871292284) is an individual clinical provider in Buffalo, Minnesota and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1871292284
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY HILDRECredential: MSW, LICSW
Location Address15 2ND ST NWBuffalo, MN 55313-1357
Mailing Address204 4th Ave NwBuffalo, MN 55313-1019
Phone(763) 612-2097
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 24, 2023
NPPES CertifiedFebruary 24, 2023
✔ NPI 1871292284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
15 2ND ST NW, Buffalo, MN 55313
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Hildre Msw, Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678927894
PECOS Enrollment IDI20230921003059
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 Reassignment

Medicare enrollment records show Kelly Hildre reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jacqui Ruzicka Counseling Services, LLC
28 mi
Community/Behavioral Health
255 HIGHWAY 7 E
Hutchinson, MN 55350
  • Reassigned Medicare billing, Minnesota enrollment
  • 3 clinicians in this Medicare group
NPI 1669849808 (320) 282-2591

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55313 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
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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

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

MR. CASEY GRANT BURNS BS
Counselor (Mental Health)
15 2ND ST NW
BUFFALO, MN 55313
Wright County (507) 246-6831

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 Kelly Hildre's NPI number?

The NPI number for Kelly Hildre is 1871292284. It was assigned to this individual provider in the NPPES registry on February 24, 2023.

Where is Kelly Hildre located?

Kelly Hildre practices at 15 2nd St NW, Buffalo, MN 55313. The listed phone number is (763) 612-2097.

What is Kelly Hildre's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kelly Hildre enrolled in Medicare?

Yes. Kelly Hildre is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Hildre's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Hildre reassigns Medicare benefits to Jacqui Ruzicka Counseling Services, LLC (Hutchinson, 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 Kelly Hildre's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Hildre accept?

Health plans from HealthPartners list Kelly Hildre 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.

When was this NPI record last updated?

The NPPES record for Kelly Hildre was last updated on February 24, 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.