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

Kelli Jo Anderson

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1992449151

Kelli Jo Anderson is a Nurse Practitioner in Willmar, Minnesota. Qualified in 2021, 5 years ago. Works from 2 locations and offers telehealth. Licensed in Minnesota.

Years since qualifying
5
Licensed in
MN
In the registry since
2022

Practice location Address checks out

1125 6th St SE
Willmar, MN 56201-4675
Phone: (320) 235-4613
Fax: (855) 625-7406
Show map & directions

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

Additional practice locations (1)

  • 1234 E Highway 7, Montevideo, MN 56265-1705 — (320) 269-6581

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 9144 (MN)

Record details

NPI number1992449151
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 25, 2022
Last updated in NPPESMay 12, 2022
Certification dateMay 3, 2022
Mailing address1234 E Highway 7, Montevideo, MN 56265-1705

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)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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