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

Miss. Jade Alexis Kelling

Individual provider Family Medicine Physician · NPI 1366179509

Miss. Jade Alexis Kelling is a Nurse Practitioner in Watford City, North Dakota. Qualified in 2022, 4 years ago. Practices with Sanford Bismarck, a 561-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
4
Licensed in
ND
In the registry since
2022
Specialties on file
3

Practice location Address checks out

340 N Main St Ste 311
Watford City, ND 58854-7308
Phone: (701) 444-2888
Fax: (701) 444-2813
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 F08220262 (ND)
Family Medicine Physician Taxonomy 207Q00000X · Licence F08220262 (ND)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence R43520 (ND)

Record details

NPI number1366179509
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 8, 2022
Last updated in NPPESMarch 8, 2023
Certification dateAugust 8, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Sanford Bismarck — 561 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Watford City