KELLY J VOLD NP
NPI 1962634428
Nurse Practitioner in Eau Claire, WI
About Kelly J Vold Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY J VOLD NP (NPI 1962634428) is an individual nurse practitioner in Eau Claire, Wisconsin, licensed in Wisconsin (3814) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Eau Claire.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelly J Vold Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Kelly Vold reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Eau Claire, WI 54701
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1154372944 (Wisconsin), NPI 1700837812 (Wisconsin), NPI 1912958026 (Wisconsin), NPI 1740239557 (Wisconsin)
- 1,248 clinicians in this Medicare group
Lake City, MN 55041
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1164463659 (Minnesota)
- 675 clinicians in this Medicare group
Red Wing, MN 55066
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1063435410 (Minnesota)
- 1,571 clinicians in this Medicare group
Sparta, WI 54656
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1629056049 (Wisconsin)
- 336 clinicians in this Medicare group
Mount Pleasant, WI 53405
- Reassigned Medicare billing, Wisconsin enrollment
- 5 clinicians in this Medicare group
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 54703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Vold's NPI number?
The NPI number for Kelly Vold is 1962634428. It was assigned to this individual provider in the NPPES registry on August 18, 2009.
Where is Kelly Vold located?
Kelly Vold practices at 1221 Whipple St, Eau Claire, WI 54703. The listed phone number is (715) 838-5222.
What is Kelly Vold's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kelly Vold enrolled in Medicare?
Yes. Kelly Vold is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kelly Vold's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Vold reassigns Medicare benefits to 5 organizations: Mayo Clinic Health System-Northwest Wisconsin Region, Inc. (Eau Claire, WI), Mayo Clinic Health System-Lake City (Lake City, MN), Mayo Clinic Health System-Southeast Minnesota Region (Red Wing, MN), Mayo Clinic Health System-Southwest Wisconsin Region, Inc. (Sparta, WI) and Emergency Medicine Of Racine Sc (Mount Pleasant, WI). 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 Kelly Vold's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kelly Vold was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Kelly J Vold, NP · NPI 1962634428
Nurse Practitioner physician in Eau Claire, Wisconsin. Individual provider, active in the CMS NPPES registry since August 18, 2009.
## Identity
- **NPI:** 1962634428 (Entity type: Individual)
- **Enumerated:** August 18, 2009
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 3814 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1221 WHIPPLE ST, Eau Claire, WI 54703-5270
- **Phone:** (715) 838-5222
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Mayo Clinic Health System-Northwest Wisconsin Region, Inc. (NPI 1235588831, Eau Claire, WI); Mayo Clinic Health System-Lake City (NPI 1538113022, Lake City, MN); Mayo Clinic Health System-Southeast Minnesota Region (NPI 1114453883, Red Wing, MN); Mayo Clinic Health System-Southwest Wisconsin Region, Inc. (NPI 1841278637, Sparta, WI); Emergency Medicine Of Racine Sc (NPI 1598102717, Mount Pleasant, WI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1962634428) · Data from the CMS NPPES public registry.