Kellie Jo Enderson, ARNP is a medicare enrolled "General Practice" physician in Huxley, Iowa. She graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Cass County Memorial Hospital and her current practice location is
302 E 3rd St, Huxley, Iowa. You can reach out to her office (for appointments etc.) via phone at
(515) 202-7279.
Kellie Jo Enderson is licensed to practice in Iowa (license number A162928) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1316523459.
Physician's Profile
| Full Name | Kellie Jo Enderson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 302 E 3rd St, Huxley, Iowa |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kellie Jo Enderson graduated from medical school in 2020
NPI Data:
- NPI Number: 1316523459
- Provider Enumeration Date: 03/19/2021
- Last Update Date: 03/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 6103216296
- Enrollment ID: I20211203001312
Medical Identifiers
Medical identifiers for Kellie Jo Enderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1316523459 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | A162928 (Iowa) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Cass County Memorial Hospital | 5294634994 | 56 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kellie Jo Enderson allows following entities to bill medicare on her behalf.
| Entity Name | Cass County Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861597122
PECOS PAC ID: 5294634994
Enrollment ID: O20031231000681 |
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| Entity Name | Community Health Center Of Fort Dodge Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225083728
PECOS PAC ID: 1557378627
Enrollment ID: O20070104000109 |
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| Entity Name | Curana Health Of Iowa Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730773714
PECOS PAC ID: 9133536113
Enrollment ID: O20210319000455 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kellie Jo Enderson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Kellie Jo Enderson, ARNP
302 E 3rd St,
Huxley, IA 50124-9450
Ph: (515) 202-7279 | Kellie Jo Enderson, ARNP
302 E 3rd St,
Huxley, IA 50124-9450
Ph: (515) 202-7279 |
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