Carissa Jo Kelm, ARNP in Waverly, IA - Medicare Nurse Practitioner

Carissa Jo Kelm, ARNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Waverly, Iowa. Her current practice location is 312 9th St. Sw, Waverly, Iowa. You can reach out to her office (for appointments etc.) via phone at (319) 352-4120.

Carissa Jo Kelm is licensed to practice in Iowa (license number H174874) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073299053.

Contact Information

	Carissa Jo Kelm, ARNP
	312 9th St. Sw, Waverly, IA 50677
	(319) 352-4120
	Not Available

Map and Direction

Provider's Profile

Full Name	Carissa Jo Kelm
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	312 9th St. Sw, Waverly, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073299053
Provider Enumeration Date: 06/26/2023
Last Update Date: 06/26/2023

Medicare PECOS Information:

PECOS PAC ID: 7517328511
Enrollment ID: I20230807000793

Medical Identifiers

Medical identifiers for Carissa Jo Kelm such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073299053	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	H174874 (Iowa)	Primary

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. Carissa Jo Kelm allows following entities to bill medicare on her behalf.

Entity Name	Waverly Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598959371 PECOS PAC ID: 8820996762 Enrollment ID: O20031230000129

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. Carissa Jo Kelm 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
Carissa Jo Kelm, ARNP 312 9th Street Sw, Waverly, IA 50677 Ph: (319) 352-4120	Carissa Jo Kelm, ARNP 312 9th St. Sw, Waverly, IA 50677 Ph: (319) 352-4120

Reviews and Comments

Nurse Practitioner Nurses in Waverly, IA

Teresa Anne Isaacson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 312 9th St Sw, Waverly, IA 50677 Phone: 319-483-1390 Fax: 319-483-1399
Mrs. Jodi Bangasser, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 312 9th St Sw, Waverly, IA 50677 Phone: 319-483-1365 Fax: 319-352-3992
Jan Paula Davis, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 312 9th St Sw Ste 3300, Waverly, IA 50677 Phone: 319-483-1400 Fax: 319-483-1439
Rae Gene Hovenga, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 312 9th St Sw, Waverly, IA 50677 Phone: 319-352-4120
Leeann Hoodjer, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Waverly Health Center, 312 9th Street Sw, Waverly, IA 50677 Phone: 319-352-4120
Kerri Marie Vanee, ACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 99 E Bremer Ave Ste 100, Waverly, IA 50677 Phone: 319-239-9194

Carissa Jo Kelm, ARNP - Medicare Nurse Practitioner in Waverly, IA