Individual provider Active NPI

Khamkeo Saesee, APRN, CNP

  • Family Nurse Practitioner
  • Rochester, MN
National Provider Identifier
1720636814
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6886 Issued in MN
Practice address
102 Elton Hills Dr NW Ste 200
Rochester, MN 55901-3564
Phone
(507) 280-1824
NPI assigned
Aug 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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 6886 MN Primary

Addresses

Primary practice location

102 Elton Hills Dr NW Ste 200
Rochester, MN 55901-3564

Mailing address

210 9TH St SE
Rochester, MN 55904-6756
Phone (507) 288-3443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20190916002201 MN Practitioner - Nurse Practitioner 5890024996

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

210 9TH St SE
Rochester, MN 55904-6425

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6886MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Olmsted Medical Center CurrentSince Sep 6, 2019 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

111 County Road 11 NW
Pine Island, MN 55963
Phone (507) 356-2476

20 2nd Ave NE
Plainview, MN 55964
Phone (507) 534-3885

318 1st Ave SW
Ste 203
Rochester, MN 55902
Phone (507) 292-7250

132 17th Ave NW
Ste 132
Rochester, MN 55901
Phone (507) 292-7411

210 9th St SE
Rochester, MN 55904
Phone (507) 529-6616

5155 55th St NW
Rochester, MN 55901
Phone (507) 292-7174

1650 4th St SE
Rochester, MN 55904
Phone (507) 285-8485

102 Elton Hills Dr NW
Ste 200
Rochester, MN 55901
Phone (507) 280-1824

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.

NPI Registry JSON

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

{
    "created_epoch": "1567209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1720636814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 9TH ST SE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559046756",
            "telephone_number": "507-288-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 ELTON HILLS DR NW STE 200",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013564",
            "telephone_number": "507-280-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAESEE",
        "first_name": "KHAMKEO",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-31",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "6886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.