Doctor profile · Federal record

Dr. Janelle Kyllo Bouchie, PA-C

Physician Assistant · Pediatric Occupational Therapist · Detroit Lakes, MN

  • NPI 1366716102
  • Accepts Medicare
  • 8 yrs in practice
  • Licensed in 2 states
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1027 Washington Ave
Detroit Lakes, MN 565013409
(218) 847-5611
Mailing address
1702 University Dr S
Fargo, ND 581034940

Credentials & registration

NPPES · NUCC
NPI registered
February 2012 — 14 yrs on file
Profile last updated
November 10, 2021
Year of graduation
2018 — 8 yrs since
Specialty taxonomy
363A00000X — NUCC code
State licenses (2)
Minnesota #12809 · Idaho #OT-1120

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1366716102. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
201
Distinct HCPCS
3
Medicare allowed
$21,749
HCPCS Description Services Patients Avg allowed
99285 Emergency department visit with high level of medical decision making 89 86 $140
99284 Emergency department visit with moderate level of medical decision making 73 73 $97
99283 Emergency department visit with low level of medical decision making 39 39 $57

In context: peer comparison

Among 3 peers in this city , average services per provider: 58. This provider delivers 3.5× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
26
Patients
26
Total drug cost
$139
Drug Type Claims Patients Total cost
Cephalexin Generic 15 15 $97
Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) Brand 11 11 $42

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Janelle Kyllo Bouchie's medical specialty?
Dr. Janelle Kyllo Bouchie practices Physician Assistant in Detroit Lakes, MN.
Where does Dr. Janelle Kyllo Bouchie practice?
Dr. Janelle Kyllo Bouchie practices at 1027 Washington Ave, Detroit Lakes, MN 565013409. Office phone: 2188475611.
What is Dr. Janelle Kyllo Bouchie's NPI?
Dr. Janelle Kyllo Bouchie's National Provider Identifier (NPI) is 1366716102, issued by NPPES.
Does Dr. Janelle Kyllo Bouchie accept Medicare assignment?
Yes. Dr. Janelle Kyllo Bouchie accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Janelle Kyllo Bouchie commonly perform?
Top Medicare-reported procedures in 2023: Emergency department visit with high level of medical decision making (HCPCS 99285); Emergency department visit with moderate level of medical decision making (HCPCS 99284); Emergency department visit with low level of medical decision making (HCPCS 99283). Source: CMS Medicare Physician & Other Practitioners file.