Active NPI
Kelsey L Kuylen, FNP
- Family Nurse Practitioner
- Dickinson, ND
National Provider Identifier
1477007367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R35654
- Practice address
- 30 7TH St W
Dickinson, ND 58601-4335 - Phone
- (701) 483-6666
- Fax
- (701) 483-6667
- NPI assigned
- Aug 8, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R35654 | ND | Primary |
Addresses
Primary practice location
30 7TH St W
Dickinson, ND 58601-4335
Mailing address
PO Box 406
Dickinson, ND 58602-0406
Phone (701) 260-5724
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R35654 | ND | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph'S Hospital and Health Center | Current | Accepting new patients | |
| St Joseph'S Hospital and Health Center | Current | Accepting new patients | |
| St Joseph'S Hospital and Health Center | Current | Accepting new patients |
Locations
7360 Solutions Ctr
Chicago, IL 60677
Phone (701) 237-8033
30 7th St W
Dickinson, ND 58601
Phone (701) 264-4000
2500 Fairway St
Dickinson, ND 58601
Phone (701) 456-4000
Organizations & group practices 3
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.
-
- Clinic/Center
- Dickinson, ND
- NPI 1730464108
-
- Rural Health Clinic/Center
- Beach, ND
- NPI 1669491262
-
- Surgery Physician
- Dickinson, ND
- NPI 1073745279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641945600000",
"number": "1477007367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 406",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586020406",
"telephone_number": "701-260-5724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 7TH ST W",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586014335",
"telephone_number": "701-483-6666",
"fax_number": "701-483-6667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUYLEN",
"first_name": "KELSEY",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-08",
"last_updated": "2022-01-12",
"certification_date": "2022-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ND",
"license": "R35654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dickinson, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.