Kelsey Marie Henningson-Kaye, PA-C
Individual provider Active NPI Medical Physician Assistant · Ortonville, MN
NPI 1093976540 · NPPES record last updated Aug 2, 2025
Key facts
- NPI
- 1093976540
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 10580 (MN)
- Practice address
- 450 Eastvold Ave
Ortonville Area Health Services/Northside Medical Clini
Ortonville, MN 56278-1252 - Phone
- (320) 839-6157
- Fax
- (320) 839-3851
- NPI assigned
- Jun 18, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ortonville Area Health Services
Practice addresses (Care Compare)
450 Eastvold Ave
Ortonville, MN 56278-1252
Phone (320) 839-6157
Hospital & facility affiliations
- Ortonville Area Health Services
- Milbank Area Hospital/Avera Health
- Sanford Usd Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.21 of 100
- Quality
- 92.56
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 41.48
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091006000503 | MN | Practitioner - Physician Assistant | 4486727237 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2260-023 | WI | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ortonville Area Health Services | Current |
Accepting new patients | |
| Ortonville Area Health Services | Current | Accepting new patients | |
| Ortonville Area Health Services | Current |
Accepting new patients | |
| Ortonville Area Health Services | Past | Accepting new patients | |
| Ortonville Area Health Services | Past | Accepting new patients |
Locations
450 Eastvold Ave
Ortonville, MN 56278
Phone (320) 839-2502
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 10580 | MN | Yes |
| Medical Physician Assistant | 363AM0700X | 2260-023 | WI |
Addresses
Primary practice location
450 Eastvold Ave
Ortonville Area Health Services/Northside Medical Clini
Ortonville, MN 56278-1252
Mailing address
450 Eastvold Ave
Ortonville Area Health Services/Northside Medical Clini
Ortonville, MN 56278
Phone (320) 839-6157
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093976540 | Other | MN | PRIMEWEST HEALTH |
| 1093976540 | Other | MN | PREFERRED ONE |
| 1093976540 | Other | MN | RR MEDICARE |
| 1093976540 | Other | MN | BCBS |
| 1093976540 | Other | MN | MEDICA |
| 1093976540 | Other | DAKOTA CARE | |
| 1093976540 | Other | UCARE | |
| 1093976540 | Other | MN | CHAMPUS |
| 1093976540 | Other | HEALTHPARTNERS | |
| 1093976540 | Medicaid | MN |
Other names
- Ms. Kelsey Marie Henningson
Other providers in Ortonville, MN
- Neil Feist
- Kayla Jo Findlay
- Sarah Fischer
- Granite Falls Eyecare, Inc
- Chance Haugen
- Natasha Hynnek
- Independent School District 62
- Cathleen Mary Dolores Janitschke
- Matthew Johnson
- Haley Jones
All providers in Ortonville, MN · Medical Physician Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.