MRS. KELLIE GOEDKEN DEN HARTOG PA-C
NPI 1992261002
Family Medicine in Rock Rapids, IA
About Mrs. Kellie Goedken Den Hartog Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KELLIE GOEDKEN DEN HARTOG PA-C (NPI 1992261002) is an individual family medicine provider in Rock Rapids, Iowa, licensed in Iowa (095185) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Avera Merrill Pioneer Hospital, and maintains a secondary practice location in Rock Rapids.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
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
Mrs. Kellie Goedken Den Hartog Pa-c 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Avera Merrill Pioneer Hospital
Critical Access Hospitals · Rock Rapids, IAAvera Mckennan Hospital & University Health Center
Acute Care Hospitals · Sioux Falls, SDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 51246 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 6
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 Kellie Den Hartog's NPI number?
The NPI number for Kellie Den Hartog is 1992261002. It was assigned to this individual provider in the NPPES registry on February 13, 2019. The provider is also known as Kellie Ann Goedken.
Where is Kellie Den Hartog located?
Kellie Den Hartog practices at 1100 S 10th Ave, Rock Rapids, IA 51246. The listed phone number is (712) 472-5399.
What is Kellie Den Hartog's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kellie Den Hartog enrolled in Medicare?
Yes. Kellie Den Hartog 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 Kellie Den Hartog accept?
Health plans from Avera Health Plans and Medica list Kellie Den Hartog 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 Kellie Den Hartog affiliated with any hospitals?
According to CMS data, Kellie Den Hartog is affiliated with Avera Merrill Pioneer Hospital and Avera Mckennan Hospital & University Health Center.
When was this NPI record last updated?
The NPPES record for Kellie Den Hartog was last updated on February 28, 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.
# Mrs. Kellie Goedken Den Hartog, PA-C · NPI 1992261002
Family Medicine physician in Rock Rapids, Iowa. Individual provider, active in the CMS NPPES registry since February 13, 2019.
## Identity
- **NPI:** 1992261002 (Entity type: Individual)
- **Enumerated:** February 13, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 095185 (Iowa)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1100 S 10TH AVE, Rock Rapids, IA 51246-2020
- **Phone:** (712) 472-5399
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** February 28, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1992261002) · Data from the CMS NPPES public registry.