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
Hospital & facility affiliations 6
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
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
- Humboldt County Memorial Hospital
- Pocahontas Community Hospital
- Van Diest Medical Center
- Kossuth Regional Health Center
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250911000580 | IA | Practitioner - Nurse Practitioner | 9739682295 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | IA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Physicians Clinic Medical Foundation | Current |
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
- kgunderson173583@direct.unitypoint.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Paige Griffin
- Teresa Claire Gubernath
- Dean Lee Guerdet
- Rita L Gulbranson
- David E Gunderson
- Kelly Marie Gunderson
- Gypsum Creek Healthcare, Inc.
- Jana Maria Hacker
- Jordan Paul Hagar
- Eric K Hage
All providers in Fort Dodge, IA · Family Nurse Practitioner in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 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.