KELLI JO ANDERSON
NPI 1992449151
Nurse Practitioner - Psychiatric/Mental Health in Willmar, MN
About Kelli Jo Anderson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLI JO ANDERSON (NPI 1992449151) is an individual psychiatric/mental health provider in Willmar, Minnesota, licensed in Minnesota (9144) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Centracare- Rice Memorial Hospital, and maintains a secondary practice location in Montevideo.
NPPES Registry Identity
Specialties & Licenses
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)
Kelli Jo Anderson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kelli Anderson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wichita, KS 67202
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Sondermind PA
- 28 clinicians in this Medicare group
Durham, NC 27701
- Reassigned Medicare billing, Minnesota enrollment
- 98 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.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Centracare- Rice Memorial Hospital
Acute Care Hospitals · Willmar, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 56201 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 Kelli Anderson's NPI number?
The NPI number for Kelli Anderson is 1992449151. It was assigned to this individual provider in the NPPES registry on April 25, 2022.
Where is Kelli Anderson located?
Kelli Anderson practices at 1125 6th St SE, Willmar, MN 56201. The listed phone number is (320) 235-4613.
What is Kelli Anderson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kelli Anderson enrolled in Medicare?
Yes. Kelli Anderson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kelli Anderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelli Anderson reassigns Medicare benefits to 2 organizations: Sondermind, P.A. (Wichita, KS) and Mental Health Specialty Group PA (Durham, NC). 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 Kelli Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kelli Anderson affiliated with any hospitals?
According to CMS data, Kelli Anderson is affiliated with Centracare- Rice Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Kelli Anderson was last updated on May 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kelli Jo Anderson · NPI 1992449151
Psychiatric/Mental Health physician in Willmar, Minnesota. Individual provider, active in the CMS NPPES registry since April 25, 2022.
## Identity
- **NPI:** 1992449151 (Entity type: Individual)
- **Enumerated:** April 25, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 9144 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1125 6TH ST SE, Willmar, MN 56201-4675
- **Phone:** (320) 235-4613 · **Fax:** (855) 625-7406
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Sondermind, P.A. (NPI 1710647581, Wichita, KS); Mental Health Specialty Group PA (NPI 1801472634, Durham, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** May 12, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1992449151) · Data from the CMS NPPES public registry.