Individual provider Active NPI

Kelsi Ann Herfel

  • General Practice Dentistry
  • Mount Horeb, WI
National Provider Identifier
1568167633
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6001225-15 Issued in WI
Practice address
1920 Commerce Dr
Mount Horeb, WI 53572-9100
Phone
(608) 832-6505
NPI assigned
Mar 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6001225-15 WI Primary

Addresses

Primary practice location

1920 Commerce Dr
Mount Horeb, WI 53572-9100

Mailing address

1920 Commerce Dr
Mount Horeb, WI 53572-9100
Phone (608) 350-7899

Other names 1

  • Kelsi Ann Salzwedel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230914001152 WI Order and Referring Only - DentistPractitioner - Dentist 4587028212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1568167633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 COMMERCE DR",
            "city": "MOUNT HOREB",
            "state": "WI",
            "postal_code": "535729100",
            "telephone_number": "608-350-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 COMMERCE DR",
            "city": "MOUNT HOREB",
            "state": "WI",
            "postal_code": "535729100",
            "telephone_number": "608-832-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERFEL",
        "first_name": "KELSI",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-30",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6001225-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSI",
            "last_name": "SALZWEDEL",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Horeb, WI

Sources for this page

Verify at the official NPI Registry.