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Kelsey Goulette, PA-C

NPI 1184199804ActiveIndividual· Physician Assistant· Fargo, ND

Physician Assistant (PA-C) with Ideal Option PLLC and 1 other group, practicing in Fargo, North Dakota. In 2024 Medicare paid $14,041 for 38 patients, and Part D covered 158 of their prescriptions, 84% of them generic.

Overview

NPI1184199804
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedOct 9, 2018
Last updated in NPPESMar 6, 2025
Certified by providerMar 6, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000XPA6761MA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (MD); Practitioner - Physician Assistant (ME); Practitioner - Physician Assistant (MT); Practitioner - Physician Assistant (ND); Practitioner - Physician Assistant (NM); Practitioner - Physician Assistant (WA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients38
Services billed211 across 17 procedure codes
Paid by Medicare$14,041

Part D prescriptions in 2024

Prescriptions (claims)158 · 158 30-day fills
Patients85
Total drug cost$16,952
Generic share84% of claims

Medicare sources and data years

Education and affiliations

Graduation year2018
Medicare specialtyPhysician Assistant
TelehealthOffers telehealth

Medical groups

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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