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Active NPI 1184199804 Individual Practitioner Female Practitioner

Kelsey Goulette , PA-C

Physician Assistant • Fargo, ND

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Kelsey Goulette, PA-C is a certified Physician Assistant practicing in Fargo, ND. With approximately 8 years of clinical experience since completing medical education in 2018, Kelsey Goulette delivers high-quality medical care to the local community at 3345 39TH ST S STE 1.

Kelsey Goulette maintains professional affiliations with Ideal Telemedicine Services Llc, Ideal Option Pllc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, telehealth originating site facility fee. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3345 39th St S Ste 1

Fargo, ND 581047539

Telephone 5092221275
Fax 5094913031
Associated Practice Facility / Clinic
🏢 Ideal Option, Pllc Facility NPI 1891295242

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fargo, ND

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -2.9 yrs vs City Avg
City Avg: 10.9 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
172 Specialists

Practicing in Fargo, ND (469 Statewide)

Telehealth Adoption Rate
18.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
69.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Goulette (8 Years) 8 Yrs
Fargo Specialty Average (10.9 Years) 10.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
61 28 $391.97 $107.39
Q3014 Telehealth originating site facility fee
48 16 $54.90 $29.50

Medical Specialties & State Licenses

CMS Verified: 2025-03-06
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MA PA6761

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Ideal Option Pllc

532 N Telshor Blvd, Las Cruces, NM 880118234

Phone: 8775221275

Ideal Option Pllc

301 Saddle Dr, Helena, MT 596018026

Phone: 8775221275

Ideal Option Pllc

617 10th Ave S, Great Falls, MT 594054048

Phone: 8775221275

Ideal Option Pllc

1532 Ellis St, Bozeman, MT 597158809

Phone: 5092221275

Ideal Telemedicine Services Llc

1532 Ellis St, Bozeman, MT 597158809

Phone: 8775221275

Ideal Option Pllc

1221 W Divide Ave, Bismarck, ND 585011224

Phone: 8775221275

Ideal Option Pllc

74 4th St N, Glasgow, MT 592301857

Phone: 8775221275

Ideal Option Pllc

406 Se 131st Ave, Vancouver, WA 986834031

Phone: 5092221275

Ideal Option Pllc

602 N 39th Ave, Yakima, WA 989026398

Phone: 8775221275

Ideal Option Pllc

8400 Osuna Rd Ne, Albuquerque, NM 871112069

Phone: 5095709302

Ideal Option Pllc

1215 120th Ave Ne, Bellevue, WA 980052135

Phone: 87752212753049

Ideal Telemedicine Services Llc

3345 39th St S, Fargo, ND 581047539

Phone: 8775221275

Ideal Telemedicine Services Llc

1205 S Main St, Kalispell, MT 599015639

Phone: 8775221275

Ideal Option Pllc

1520 Parker Way, Mount Vernon, WA 982732595

Phone: 8775221275

Ideal Option Pllc

1205 S Main St, Kalispell, MT 599015639

Phone: 87752212753049

Ideal Option Pllc

3345 39th St S, Fargo, ND 581047539

Phone: 8775221275

Ideal Option Pllc

26 E 5th Ave, Spokane, WA 992021309

Phone: 8775221275

Ideal Option Pllc

1215 N Mcdonald Rd, Spokane Valley, WA 992161557

Phone: 8775221275

Ideal Telemedicine Services Llc

3301 30th Ave S, Grand Forks, ND 582016009

Phone: 8775221275

Ideal Option Pllc

8508 W Gage Blvd, Kennewick, WA 993368106

Phone: 5092221275

Ideal Option Pllc

8116 112th St Ct E, Puyallup, WA 983737816

Phone: 5095709302

Ideal Option Pllc

615 W Main St, Cut Bank, MT 594272802

Phone: 87752212753049

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners
NPI 1023378882

Physician Assistant (Certified), Doctor of Philosophy (Ph.D.), Registered Dental Hygienist

Shawnda Jennings , PSS

Peer Specialist

NPI 1023874617
Angelina Campos , NP

Nurse Practitioner

NPI 1104467042

Nurse Practitioner

Katelyn Mahlum , FNP-C

Nurse Practitioner - Family

NPI 1114703626

Family Nurse Practitioner (Certified)

Katherine Vichorek , NP

Nurse Practitioner

NPI 1134665334

Nurse Practitioner

Aidan Sorrells , PSS

Peer Specialist

NPI 1134970130

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Business Mailing Address March 06, 2025

Registered at 500 SW 7TH ST STE A205, RENTON, WA 980572983 (Tel: 8775221275)

📍
Updated Practice Location June 28, 2022

Registered at 3345 39TH ST S STE 1, FARGO, ND 581047539 (Tel: 5092221275)

📍
Updated Business Mailing Address June 28, 2022

Registered at 5615 DUNBARTON AVE, PASCO, WA 993018216 (Tel: 5092221275)

📍
Updated Practice Location January 23, 2019

Registered at 300 LONGWOOD AVE, BOSTON, MA 02115 (Tel: 6173556000)

📍
Updated Business Mailing Address January 23, 2019

Registered at 300 LONGWOOD AVE, BOSTON, MA 021155724 (Tel: 6173556000)

NPI Profile Active October 09, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location October 09, 2018

Registered at 360 HUNTINGTON AVE, BOSTON, MA 021155005 (Tel: 6173732000)

📍
Updated Business Mailing Address October 09, 2018

Registered at 31A JAY ST, CAMBRIDGE, MA 021393124 (Tel: 8029996507)

👤
Provider Name / Credentials Updated October 09, 2018

Recorded as KELSEY GOULETTE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2018

Physician Assistant (License #PA6761 in MA)

🟢
Initial NPI Registration & Enumeration October 09, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184199804
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 09, 2018
Last Update: March 06, 2025
Sole Proprietor: No

Mailing Address

500 Sw 7th St Ste A205

Renton, WA 980572983

Phone: 8775221275

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.