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

Kelli Brooke Folgheraiter

Individual provider Physician Assistant · NPI 1942973656

Kelli Brooke Folgheraiter is a Nurse Practitioner in Prescott, Arizona. Qualified in 2021, 5 years ago. Practices with Doctor's Office LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
5
Licensed in
AZ
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

2078 Willow Creek Rd
Prescott, AZ 86301-5389
Phone: (928) 776-6400
Fax: (855) 633-3142
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 260085 (AZ)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1942973656
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 28, 2021
Last updated in NPPESApril 12, 2023
Certification dateApril 12, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Doctor'S Office Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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