Kelcie Gunderson, DNP, ARNP, FNP-C

Individual provider Active NPI Family Nurse Practitioner · Fort Dodge, IA

NPI 1487530358 · NPPES record last updated Aug 14, 2025

Key facts

NPI
1487530358
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
PENDING (IA)
Practice address
804 Kenyon Rd # 240
Fort Dodge, IA 50501-5742
Phone
(515) 574-8490
Fax
(515) 574-8498
NPI assigned
Aug 14, 2025
Sex
Female
Sole proprietor
No

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.

Hospital & facility affiliations 6

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

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iowa Physicians Clinic Medical Foundation (1,254 clinicians)

Practice addresses (Care Compare)

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

4480 Utica Ridge Rd
Suite 160
Bettendorf, IA 52722-1637
Phone (563) 742-5950

802 Kenyon Rd
Fort Dodge, IA 50501-5740

804 Kenyon Rd
Fort Dodge, IA 50501-5742

Hospital & facility affiliations

  • Trinity Regional Medical Center Hospital · Fort Dodge, IA · CCN 160016
  • Humboldt County Memorial Hospital Hospital · Humboldt, IA · CCN 161334
  • Pocahontas Community Hospital Hospital · Pocahontas, IA · CCN 161305
  • Van Diest Medical Center Hospital · Webster City, IA · CCN 161361
  • Kossuth Regional Health Center Hospital · Algona, IA · CCN 161353

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250911000580 IA Practitioner - Nurse Practitioner 9739682295 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
PENDINGIAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Physicians Clinic Medical Foundation Current
since Sep 22, 2025
Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

804 Kenyon Rd
#240
Fort Dodge, IA 50501
Phone (515) 574-8490

804 Kenyon Rd
Ste 240
Fort Dodge, IA 50501
Phone (515) 574-8490

Interoperability endpoints

  • Direct secure messaging: kgunderson173583@direct.unitypoint.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X PENDING IA Yes

Addresses

Primary practice location

804 Kenyon Rd # 240
Fort Dodge, IA 50501-5742

Mailing address

804 Kenyon Rd # 240
Fort Dodge, IA 50501-5742
Phone (515) 574-8490

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 14, 2025.

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1487530358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 KENYON RD # 240",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015742",
            "telephone_number": "515-574-8490",
            "fax_number": "515-574-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 KENYON RD # 240",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015742",
            "telephone_number": "515-574-8490",
            "fax_number": "515-574-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNDERSON",
        "first_name": "KELCIE",
        "name_prefix": "Dr.",
        "credential": "DNP, ARNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dodge, IA

All providers in Fort Dodge, IA · Family Nurse Practitioner in Iowa

Sources for this page

Verify at the official NPI Registry.