Kelly Anne Polcher, DNP, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R30884 Issued in ND

Practice address

301 NP Ave N
Fargo, ND 58102-4835

Phone

(701) 271-3344

Fax

(701) 271-3347

NPI assigned

Dec 21, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND, MN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Health Care Center 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sanford Home Care Fargo Home health agency, Fargo, ND, CCN 357037
• Sanford Medical Center Fargo Hospital, Fargo, ND, CCN 350011

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Health Care Center

  • Federally Qualified Health Center (FQHC)
  • Fargo, ND
  • NPI 1710066352

  ND

  Medicare reassignment Care Compare group NPD
• Family Health Care Center

  • Federally Qualified Health Center (FQHC)
  • Moorhead, MN
  • NPI 1992559645

  MN

  Medicare reassignment Care Compare group NPD
• Family Health Care Center

  • Federally Qualified Health Center (FQHC)
  • Lamoure, ND
  • NPI 1689350415
  Care Compare group
• Family Health Care Center

  • Federally Qualified Health Center (FQHC)
  • Valley City, ND
  • NPI 1750876124
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sanford Medical Center Fargo

  • Family Medicine Physician
  • West Fargo, ND
  • NPI 1184917924

  Hospital

  Care Compare affiliation
• Sanford Medical Center Fargo

  • General Acute Care Hospital
  • Fargo, ND
  • NPI 1245519081

  Hospital

  Care Compare affiliation
• Sanford Medical Center Fargo

  • General Acute Care Hospital
  • Fargo, ND
  • NPI 1528009412

  Hospital

  Care Compare affiliation
• Sanford Medical Center Fargo

  • Home Health Agency
  • Fargo, ND
  • NPI 1891861761
  Care Compare affiliation
• Sanford Medical Center Fargo

  • Air Ambulance
  • Fargo, ND
  • NPI 1942415468

  Hospital

  Care Compare affiliation
• Sanford Health of Northern Minnesota

  • Ambulatory Surgical Clinic/Center
  • Bemidji, MN
  • NPI 1093876922

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540684800000",
    "number": "1104195031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 NP AVE N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581024835",
            "telephone_number": "701-271-3344",
            "fax_number": "701-271-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 NP AVE N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581024835",
            "telephone_number": "701-271-3344",
            "fax_number": "701-271-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLCHER",
        "first_name": "KELLY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-21",
        "last_updated": "2018-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R30884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Pletcher, M.D
• Amber D Pohto
• Francine Marie Poitra
• Monika Pokharel, M.D.
• Paul Afanasi Polanski, LCSW
• Tatianna Pollak, PHARMD
• John J. Pollard, D.D.S.
• Andrea Pollock
• Marci Polo
• Megan Joy Polries

• All providers in Fargo, ND
• Family Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.