Individual provider Active NPI

Kailee Nicole Draz

  • Family Medicine Physician
  • Welch, MN
National Provider Identifier
1629933460
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13666 Issued in MN
Practice address
1158 Island Lake Blvd
Welch, MN 55089
Phone
(651) 385-4148
NPI assigned
Dec 23, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13666MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Piic Clinical Services CurrentSince Dec 28, 2025 Accepting new patients
Prairie Island Indian Community PastSince Dec 28, 2025 Accepting new patients

Locations

1158 Island Blvd
Welch, MN 55089
Phone (651) 385-4148

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 13666 MN Primary

Addresses

NPPES NPI Registry

Primary practice location

1158 Island Lake Blvd
Welch, MN 55089

Mailing address

1529 W 6TH St
Red Wing, MN 55066-2148
Phone (651) 343-3967

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 23, 2025.

{
    "created_epoch": "1766448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1629933460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 W 6TH ST",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550662148",
            "telephone_number": "651-343-3967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1158 ISLAND LAKE BLVD",
            "city": "WELCH",
            "state": "MN",
            "postal_code": "55089",
            "telephone_number": "651-385-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAZ",
        "first_name": "KAILEE",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-23",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "13666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Welch, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.