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

Individual provider Physician Assistant · NPI 1417695677

Kelsey Ann Krueger, PA is a Physician Assistant in Fargo, North Dakota. Qualified in 2022, 4 years ago. Practices with Innovis Health LLC, a 573-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
4
Licensed in
ND
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3000 32nd Ave S
Fargo, ND 58103-6132
Phone: (701) 202-8587
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1656 Central St W, Bagley, MN 56621-4357 — (218) 694-2384

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PAC0946 (ND)

Record details

NPI number1417695677
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 26, 2022
Last updated in NPPESMay 25, 2024
Certification dateMay 25, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Innovis Health Llc — 573 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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