DR. KELSEY LEIGH DEETER (DO) – Family Medicine Physician, NPI 1447641915

DR. KELSEY LEIGH DEETER (DO) is a healthcare provider. based in Mankato, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 68067 (MN). The NPI Number for DR. KELSEY LEIGH DEETER (DO) is 1447641915

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELSEY LEIGH DEETER (DO)
NPI
1447641915
Phone
(507) 594-6500
Address
101 MARTIN LUTHER KING DR
Enumeration Date
5 February 2015
Last Update Date
12 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5072175000
Graduation Year
2019 (7 years ago)
PAC ID
2062747082
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20220513001454
Address ID
MN560731514NE1324XNXXX400
Telehealth
Yes

Contacts

Secure Messaging
kkalkman478730@ehrdirect.mayoclinicmsg.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

3,076 FAMILY PRACTICE in MN

Provider Addresses for DR. KELSEY LEIGH DEETER (DO)

  • 101 MARTIN LUTHER KING DR

    MANKATO, MN 560016460

    Phone: (507) 594-6500

    Type: Mailing

  • 8225 Flying Cloud Dr

    Eden Prairie, MN 553445315

    Phone: (952) 944-8720

    Type: Location

  • 101 Martin Luther King Dr

    Mankato, MN 560016460

    Phone: (507) 594-6500

    Type: Location

  • 2925 CHICAGO AVE

    MINNEAPOLIS, MN 554071321

    Phone: (612) 262-9000

    Type: Mailing

  • 1217 8TH ST N

    NEW ULM, MN 560731552

    Phone: (507) 217-5000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-05-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220513001454IFamily PracticeMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes14295$0
99213Established patient office or other outpatient visit, 20-29 minutes5551$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3434$0
99215Established patient office or other outpatient visit, 40-54 minutes3024$0
97810Acupuncture, initial 15 minutes2923$0
View full utilization report →

Insurance plans in this area (ZIP 56001)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587573613View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to DR. KELSEY LEIGH DEETER (DO)?
NPI 1447641915 is assigned to DR. KELSEY LEIGH DEETER (DO) under the national enumeration system.
Is DR. KELSEY LEIGH DEETER (DO) currently active in the NPI registry?
CMS-published data lists DR. KELSEY LEIGH DEETER (DO) as an active registrant.
Does DR. KELSEY LEIGH DEETER (DO) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for DR. KELSEY LEIGH DEETER (DO). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. KELSEY LEIGH DEETER (DO)?
The page summarizes Mankato, Minnesota for DR. KELSEY LEIGH DEETER (DO); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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