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

Dr. Kelsey Lee Hultman, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1760774574

Dr. Kelsey Lee Hultman, MD is a Family Practice in Forest Lake, Minnesota. Graduated from University of Minnesota Medical School in 2011, 15 years ago. Practices with St Croix Regional Medical Center, a 132-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
15
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1540 Lake St S
Forest Lake, MN 55025-2628
Phone: (651) 464-7100
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 55319 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1760774574
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 11, 2011
Last updated in NPPESNovember 10, 2020
Certification dateNovember 10, 2020

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2011 (15 years in practice)
Group practice St. Croix Regional Medical Center — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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