Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kelli Iceman, DPM

Individual provider Podiatrist · NPI 1386008787

Dr. Kelli Iceman, DPM is a Podiatry in Cadillac, Michigan. Qualified in 2019, 7 years ago. Practices with Northfield Hospital, a 117-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
7
Licensed in
WI
In the registry since
2016
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

8805 Pine Ridge Dr
Cadillac, MI 49601-7064
Phone: (231) 779-3668
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 1137 (WI)

Record details

NPI number1386008787
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorNo
NPI enumeratedApril 12, 2016
Last updated in NPPESSeptember 24, 2019
Mailing address8805 Pine Ridge Dr, Cadillac, MI 49601-7064

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Northfield Hospital — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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