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

Individual provider Physician Assistant · NPI 1184199804

Kelsey Goulette, PA-C is a Physician Assistant in Fargo, North Dakota. Qualified in 2018, 8 years ago. Practices with Ideal Telemedicine Services LLC, a 51-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
8
Licensed in
MA
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3345 39th St S Ste 1
Fargo, ND 58104-7539
Phone: (509) 222-1275
Fax: (509) 491-3031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA6761 (MA)

Record details

NPI number1184199804
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 9, 2018
Last updated in NPPESMarch 6, 2025
Certification dateMarch 6, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Ideal Telemedicine Services Llc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations26 on file with Medicare

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