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

Kelsie Jean Rustad, PA-C

Individual provider Family Medicine Physician · NPI 1386377901

Kelsie Jean Rustad, PA-C is a Physician Assistant in New London, Minnesota. Qualified in 2023, 3 years ago. Practices with Centracare Clinic Southwest LLC, a 172-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
3
Licensed in
MN
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

600 Peterson Pkwy
New London, MN 56273-7823
Phone: (320) 444-8287
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 14572 (MN)

Record details

NPI number1386377901
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJuly 1, 2022
Last updated in NPPESOctober 16, 2023
Certification dateOctober 16, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Centracare Clinic Southwest Llc — 172 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in New London