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

Kelsey Mae Dockendorf, CNP

Individual provider Family Nurse Practitioner · NPI 1679250385

Kelsey Mae Dockendorf, CNP is a Family Practice in Staples, Minnesota. Graduated from University of North Dakota School of Medicine in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Minnesota.

Years since qualifying
3
Trained at
University of North Dakota School of Medicine
Licensed in
MN
In the registry since
2023
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

49725 County 83
Staples, MN 56479-5280
Phone: (320) 248-5083
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 10392 (MN)

Record details

NPI number1679250385
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorYes
NPI enumeratedJuly 4, 2023
Last updated in NPPESJuly 13, 2023
Certification dateJuly 13, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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