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Dr. Kelsey Raye Nylander, DO, CMD

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Specializes in: Hospice and Palliative Medicine (End-of-Life Care and Serious Illness), Family Medicine and Urgent Care

Professional interests include: high cholesterol (hyperlipidemia), tonsilitis, diabetes, and more.

1420 N 10TH STREET
Spearfish, SD 57783

(605) 717-8595

Dr. Kelsey Raye Nylander, DO, CMD is a hospice and palliative medicine specialist in Spearfish, SD specializing in hospice and palliative medicine (end-of-life care and serious illness), family medicine and urgent care. Dr. Kelsey Raye Nylander, DO, CMD is affiliated with Monument Health and MONUMENT HEALTH NETWORK INC.

Office Locations

Address:

1420 N 10TH STREET
Spearfish, SD 57783

Some issues Dr. Kelsey Raye Nylander, DO, CMD can help you with:

Heart Problems

The heart is one of the most important organs in the body. This smooth muscle expands and contracts rhythmically an entire lifetime, pumping blood to the lungs and then to every other cell in the body. When heart problems occur, it becomes difficult for the body to get the nutrients and oxygen it needs via the blood. So while there are a variety of illnesses and disorders that affect the heart, most of them cause weakness, exhaustion and shortness of breath. The most common heart conditions include heart disease, angina, arrhythmia, and valve disorders.

Heart disease is the leading cause of death in the United States for both men and women. This includes coronary artery disease, heart attacks, congestive heart failure, and congenital heart disease. Some conditions, such as genetics, cannot be controlled. But there are many other things one can do to lower their risk for heart disease. Controlling high blood pressure and cholesterol levels, reducing or stopping smoking, exercising more and losing weight if needed, and eating a diet low in sodium can all protect the heart.

Angina is a squeezing type of chest pain that happens when the muscles around the heart don't get enough oxygen. It can be regular or infrequent. Usually, angina is caused by coronary heart disease. However, not all chest pain is angina. Chest pain can also be caused by a lung infection or panic attack, for example, so it is important to have any sudden pain checked.

Arrhythmia is the word for when the heart beats too fast, too slow, or irregularly with skipped beats. It can feel frightening, and depending on the type it can be dangerous, but in most cases arrhythmia is not serious and can be treated. It is very common, especially in older adults.

Heart valve problems can happen in any one of the the heart's four valves that keep blood flowing where it needs to go. Babies can be born with problems in their heart valves, or valves can be damaged by infections. The valves can stiffen and become less mobile, or they can stop closing properly and 'leak' when the heart beats. Valve problems can usually be repaired surgically.

Urinary Tract Infection (UTI)

A urinary tract infection, or UTI, happens when bacteria enter the body through the opening where urine is normally released. The bacteria infect the lining of the urethra and bladder, turning them red and inflamed. This causes pain in the abdomen or pelvic area, a burning sensation during urination, a sense of urgency about going to the bathroom, frequent urination, and urine that smells bad and looks cloudy, or even contains traces of blood. If the urinary tract infection is severe, it may travel all the way to the kidneys, a more serious kind of UTI called pyelonephritis. Patients with this kidney infection might have blood in their urine, feel back pain, and develop a fever.

Urinary tract infections are extremely common: 12% of all men and 40-50% of all women will have a urinary tract infection during their lifetime. They are more common in women because women have shorter urethras, so bacteria have a shorter distance to travel from the outside of the body to the bladder and cause an infection. Some people also have urethras that are an unusual shape or have an obstruction in the urethra that makes getting a UTI more likely. Also, certain chronic illnesses like diabetes weaken the immune system, so any bacteria in the body are more likely to cause an infection.

A urinary tract infection can be diagnosed very quickly by a doctor. A sample of urine can be examined under a microscope for the presence of bacteria or white blood cells. There are also diagnostic strips that can be used to test a urine sample without the need for a microscope. Once a diagnosis is made, treatment is a course of oral antibiotics, and most patients feel better within just a few days. There are some things that patients can do themselves to help reduce the risk of getting a urinary tract infection in the future. Stay well hydrated, wipe from front to back after going to the bathroom, wear breathable cotton undergarments, and don't hold it in when patients feel the urge to go.

hospital care	51
inpatient care	51
nursing home care	124

**Gender**
Male	35
Female	63

**Age**
From 65 to 74	0
From 75 to 84	27
85 and over	49
Less than 65	0

Hypertension	75
High Cholesterol	52
Stroke	14
Ischemic Heart Disease	50
Depression	39
Chronic Kidney Disease	47
Asthma	0
Osteoperosis	17
Atrial Fibrilation	21
Heart Failure	44
Chronic Obstructive Pulmonary Disease	20
Diabetes	26
Dementia	39
Cancer	11

hospital care	66
inpatient care	66
nursing home care	196

**Gender**
Male	96
Female	156

**Ethnicity**
Non-Hispanic White	252
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	0
From 75 to 84	78
85 and over	112
Less than 65	0

Hypertension	75
High Cholesterol	64
Stroke	13
Ischemic Heart Disease	48
Depression	43
Chronic Kidney Disease	48
Asthma	21
Osteoperosis	22
Atrial Fibrilation	22
Heart Failure	41
Chronic Obstructive Pulmonary Disease	32
Diabetes	35
Dementia	30
Cancer	12

hospital care	64
inpatient care	64
nursing home care	202

**Gender**
Male	53
Female	70

**Age**
From 65 to 74	16
From 75 to 84	31
85 and over	64
Less than 65	12

Hypertension	75
High Cholesterol	57
Stroke	11
Ischemic Heart Disease	46
Depression	44
Chronic Kidney Disease	46
Asthma	31
Osteoperosis	20
Atrial Fibrilation	20
Heart Failure	39
Chronic Obstructive Pulmonary Disease	28
Diabetes	25
Dementia	46
Cancer	10

nursing home care	154

**Gender**
Male	36
Female	57

**Age**
From 65 to 74	0
From 75 to 84	28
85 and over	49
Less than 65	0

Hypertension	75
High Cholesterol	62
Stroke	0
Ischemic Heart Disease	45
Depression	52
Chronic Kidney Disease	48
Asthma	0
Osteoperosis	22
Atrial Fibrilation	26
Heart Failure	42
Chronic Obstructive Pulmonary Disease	28
Diabetes	28
Dementia	37
Cancer	19

doctor visit	55
hospital care	18
inpatient care	18
nursing home care	188

**Age**
From 65 to 74	40
From 75 to 84	34
85 and over	50
Less than 65	23

Hypertension	70
High Cholesterol	48
Stroke	10
Ischemic Heart Disease	30
Depression	36
Chronic Kidney Disease	38
Asthma	0
Osteoperosis	19
Atrial Fibrilation	20
Heart Failure	33
Chronic Obstructive Pulmonary Disease	22
Diabetes	25
Dementia	31
Cancer	12

doctor visit	459
mental health therapy	49
weight management	49

**Gender**
Male	86
Female	241

**Ethnicity**
Non-Hispanic White	304
Black	0
Hispanic	0
Asian	0
Other	0
Native American	12

**Age**
From 65 to 74	160
From 75 to 84	72
85 and over	36
Less than 65	59

Hypertension	52
High Cholesterol	33
Stroke	0
Ischemic Heart Disease	20
Depression	30
Chronic Kidney Disease	18
Asthma	4
Osteoperosis	14
Atrial Fibrilation	9
Heart Failure	13
Chronic Obstructive Pulmonary Disease	13
Diabetes	23
Dementia	7
Cancer	7

doctor visit	203
nursing home care	146

**Gender**
Male	76
Female	181

**Age**
From 65 to 74	92
From 75 to 84	66
85 and over	62
Less than 65	37

Hypertension	58
High Cholesterol	37
Stroke	9
Ischemic Heart Disease	25
Depression	41
Chronic Kidney Disease	32
Asthma	4
Osteoperosis	17
Atrial Fibrilation	9
Heart Failure	24
Chronic Obstructive Pulmonary Disease	18
Diabetes	27
Dementia	28
Cancer	8

doctor visit	542
nursing home care	462

Average Medicare Procedure Volume From 2014 - 2021

Volume of procedures performed by Dr. Kelsey Raye Nylander, DO, CMD for Medicare patients.

The highest averages for the top procedures that Dr. Kelsey Raye Nylander, DO, CMD treated as a hospice and palliative medicine specialist in Spearfish, SD were nursing home care, weight management, hospital care and inpatient care.

doctor visit	317
hospital care	49
inpatient care	49
mental health therapy	49
nursing home care	210
weight management	49

Average Medicare Patient Data From 2014 - 2021

Information about Medicare patients treated by Dr. Kelsey Raye Nylander, DO, CMD.

**Gender**
Male	42
Female	87

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	55
Native American / Alaskan Native	1
Hispanic	0
Other	0

**Age**
75 to 84	33
85 and over	42
Less than 65	13
65 to 74	30

Average of Total of Conditions of Medicare patients treated by Dr. Kelsey Raye Nylander, DO, CMD From 2014 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Kelsey Raye Nylander, DO, CMD treated were hypertension, high cholesterol, chronic kidney disease and depression.

Hypertension	48
High Cholesterol	35
Stroke	5
Ischemic Heart Disease	26
Depression	28
Chronic Kidney Disease	27
Asthma	6
Osteoporosis	13
Heart Failure	23
Chronic Obstructive Pulmonary Disease	16
Diabetes	18
Atrial Fibrillation	12
Cancer	7
Dementia	21

Education & Training

She completed residency at University of Minnesota Affiliated Hospitals. She is certified by the Family Medicine and has a state license in Minnesota.

Residency: University of Minnesota Affiliated Hospitals

Board Certification: Family Medicine

Licensed In: Minnesota

Affiliations & Hospitals

Dr. Kelsey Raye Nylander, DO, CMD is associated with these hospitals and organizations:

Monument Health

MONUMENT HEALTH NETWORK INC

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General Payments

These charts describe general payments received by Dr. Kelsey Raye Nylander, DO, CMD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Ultragenyx Pharmaceutical Inc.	$12 Crysvita $12
Alexion Pharmaceuticals, Inc.	$12 Strensiq $12
Boehringer Ingelheim Pharmaceuticals, Inc.	$11 JARDIANCE $11
AstraZeneca Pharmaceuticals LP	$11 BRILINTA $11

**Types of Payments**
Food and Beverage	$46

Biography

Dr. Kelsey Nylander specializes in family medicine and urgent care and practices in Spearfish, SD. Areas of expertise for Dr. Nylander include tonsilitis, hospice (end-of-life care), and pain. Doctor.com reports that Dr. Nylander is not accepting new patients.

Select Year:

Dr. Kelsey Raye Nylander, DO, CMD

Office Locations

Some issues Dr. Kelsey Raye Nylander, DO, CMD can help you with:

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

2014 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Kelsey Raye Nylander, DO, CMD in 2014

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

2015 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Kelsey Raye Nylander, DO, CMD in 2015

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

2016 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Kelsey Raye Nylander, DO, CMD in 2016

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

2017 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Kelsey Raye Nylander, DO, CMD in 2017

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

2018 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Kelsey Raye Nylander, DO, CMD in 2018

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

2019 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Kelsey Raye Nylander, DO, CMD in 2019

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Kelsey Raye Nylander, DO, CMD in 2020

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

Average Medicare Procedure Volume From 2014 - 2021

Average Medicare Patient Data From 2014 - 2021

Average of Total of Conditions of Medicare patients treated by Dr. Kelsey Raye Nylander, DO, CMD From 2014 - 2021

Education & Training

Affiliations & Hospitals

Ratings & Reviews

General Payments

Biography

Hospice & Palliative care in Nearby Locations

Other Providers in Spearfish, SD