Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Janelle L Kyllo Bouchie, PA-C

Individual provider Pediatric Occupational Therapist · NPI 1366716102

Janelle L Kyllo Bouchie, PA-C is a Physician Assistant in Detroit Lakes, Minnesota. Qualified in 2018, 8 years ago. Practices with St Marys Regional Health Center, a 188-clinician group and accepts Medicare assignment. Licensed in Idaho and Minnesota.

Years since qualifying
8
Licensed in
ID, MN
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1027 Washington Ave
Detroit Lakes, MN 56501-3409
Phone: (218) 847-5611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12809 (MN)
Pediatric Occupational Therapist Taxonomy 225XP0200X · Licence OT-1120 (ID)

Record details

NPI number1366716102
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 24, 2012
Last updated in NPPESNovember 10, 2021
Certification dateNovember 10, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice St Marys Regional Health Center — 188 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients189
Services billed 218 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • St Josephs Area Health Services Hospital · Park Rapids, MN · listed as St Joseph's Area Health Services
  • Essentia Health St Marys - Detroit Lakes Hospital · Detroit Lakes, MN

Colleagues at St Marys Regional Health Center

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 188 clinicians in the practice; 12 are shown here.

Other providers in Detroit Lakes