KELSEY MAE DOCKENDORF CNP NPI 1679250385

NPI Information

  • NPI: 1679250385
  • Provider Name: KELSEY MAE DOCKENDORF, CNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 49725 COUNTY 83
    STAPLES, MN
    ZIP 56479
  • Phone: (320) 248-5083

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NPI Details

Kelsey Mae Dockendorf, CNP is a family nurse practitioner in Staples, MN. Kelsey Mae Dockendorf, CNP NPI is 1679250385. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

49725 COUNTY 83
STAPLES, MN
ZIP 56479-280
Phone: (320) 248-5083

The NPI 1679250385 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/4/2023 and was last updated on 7/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily10392MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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