Provider Demographics
NPI:1457129470
Name:HELGESON, KELSEY SUSAN (MSN, APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:SUSAN
Last Name:HELGESON
Suffix:
Gender:F
Credentials:MSN, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:816 MARIN AVE STE 125
Mailing Address - Street 2:
Mailing Address - City:CROOKSTON
Mailing Address - State:MN
Mailing Address - Zip Code:56716-2148
Mailing Address - Country:US
Mailing Address - Phone:218-416-4413
Mailing Address - Fax:
Practice Address - Street 1:816 MARIN AVE STE 125
Practice Address - Street 2:
Practice Address - City:CROOKSTON
Practice Address - State:MN
Practice Address - Zip Code:56716-2148
Practice Address - Country:US
Practice Address - Phone:218-416-4413
Practice Address - Fax:218-543-8074
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-19
Last Update Date:2025-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN11120363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty