Individual provider Active NPI

Kelsey Grace Doll, NP

  • Primary Care Nurse Practitioner
  • Bozeman, MT
National Provider Identifier
1912430398
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
NUR-APRN-LIC-160964 Issued in MT
Practice address
1288 N 14TH Ave Ste 201
Bozeman, MT 59715-8535
Phone
(406) 587-0681
NPI assigned
Apr 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X NUR-APRN-LIC-160964 MT Primary
Critical Care Medicine Registered Nurse 163WC0200X 799138 CA
Primary Care Nurse Practitioner 363LP2300X 95004959 CA

Addresses

Primary practice location

1288 N 14TH Ave Ste 201
Bozeman, MT 59715-8535

Mailing address

1288 N 14TH Ave Ste 201
Bozeman, MT 59715-8535
Phone (406) 587-0681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20201112001126 MT Practitioner - Nurse Practitioner 5698033660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BridgercareGroup PAC ID 5092723403, 4 clinicians

Practice addresses (Care Compare)

1288 N 14TH Ave
Suite 201
Bozeman, MT 59715-8535
Phone (406) 587-0681

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
799138CAMDCritical Care Medicine Registered Nurse
NUR-APRN-LIC-160964MTMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgercare CurrentSince Jan 11, 2025 Accepting new patients

Locations

1288 N 14th Ave
Ste 201
Bozeman, MT 59715
Phone (406) 587-0681

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.

NPI Registry JSON

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1912430398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1288 N 14TH AVE STE 201",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158535",
            "telephone_number": "406-587-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1288 N 14TH AVE STE 201",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158535",
            "telephone_number": "406-587-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLL",
        "first_name": "KELSEY",
        "middle_name": "GRACE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MT",
            "license": "NUR-APRN-LIC-160964",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "CA",
            "license": "799138",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95004959",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.