Individual provider Active NPI

Angela Ann Dolalie Kelsch, FNP-C

  • Family Nurse Practitioner
  • Fargo, ND
National Provider Identifier
1558799189
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R30711 Issued in ND
Practice address
5180 Prosperity Way S Ste 106
Fargo, ND 58104-7568
Phone
(701) 707-9225
Fax
(701) 781-8100
NPI assigned
Oct 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R30711 ND Primary

Addresses

Primary practice location

5180 Prosperity Way S Ste 106
Fargo, ND 58104-7568

Mailing address

5180 Prosperity Way S Ste 106
Fargo, ND 58104-7568
Phone (701) 707-9225

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140116001863 ND Practitioner - Nurse Practitioner 3274761523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Altaire Clinic PLLCGroup PAC ID 5698103554, 5 clinicians

Practice addresses (Care Compare)

5257 27TH St S
Suite 201
Fargo, ND 58104-7782
Phone (701) 356-5503

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R30711NDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Altaire Clinic PLLC CurrentSince Jun 1, 2021 Accepting new patients

Locations

5257 27th St S
Ste 201
Fargo, ND 58104
Phone (701) 356-5503

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1558799189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5180 PROSPERITY WAY S STE 106",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047568",
            "telephone_number": "701-707-9225",
            "fax_number": "701-781-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5180 PROSPERITY WAY S STE 106",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047568",
            "telephone_number": "701-707-9225",
            "fax_number": "701-781-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLALIE KELSCH",
        "first_name": "ANGELA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-16",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R30711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.