Kelsie Jean Rustad, PA-C
NPI 1386377901ActiveIndividual· Family Medicine· New London, MN
Family Medicine (PA-C) with Centracare Clinic Southwest LLC, practicing in New London, Minnesota. 253 Medicare patients in 2024, $42,160 paid; nearly all of their 1,072 Part D prescriptions were generic (95%). Lists Centracare- Rice Memorial Hospital as a hospital affiliation.
Overview
| NPI | 1386377901 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | Jul 1, 2022 |
| Last updated in NPPES | Oct 16, 2023 |
| Certified by provider | Oct 16, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 14572 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 253 |
|---|---|
| Services billed | 1,595 across 126 procedure codes |
| Paid by Medicare | $42,160 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,072 · 2,094 30-day fills |
|---|---|
| Patients | 321 |
| Total drug cost | $38,163 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Centracare Clinic Southwest LLCWillmar, MN · 170 clinicians
Hospital affiliation
- Centracare- Rice Memorial HospitalWillmar, MN
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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