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

Mrs. Kelly Johanna Dicke, APRN, CNP

Individual provider Family Nurse Practitioner · NPI 1629668462

Mrs. Kelly Johanna Dicke, APRN, CNP is a Nurse Practitioner in Rochester, Minnesota. Qualified in 2020, 6 years ago. Practices with Midwest Radiology PA, a 214-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
6
Licensed in
MN
In the registry since
2021
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

2355 Hwy 36 W Ste 100
Rochester, MN 55905-0001
Phone: (651) 292-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 7905 (MN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 7905 (MN)

Record details

NPI number1629668462
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , CNP
Sole proprietorNo
NPI enumeratedJanuary 26, 2021
Last updated in NPPESJanuary 17, 2024
Certification dateJanuary 17, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Midwest Radiology Pa — 214 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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