Christina Jacklyn Kirchen, CNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Chisholm, Minnesota. Her current practice location is
118 W Lake St, Chisholm, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 343-0515.
Christina Jacklyn Kirchen is licensed to practice in Minnesota (license number 9380) 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 1134865561.
Provider's Profile
| Full Name | Christina Jacklyn Kirchen |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 118 W Lake St, Chisholm, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1134865561
- Provider Enumeration Date: 05/09/2022
- Last Update Date: 08/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 2860876729
- Enrollment ID: I20220826002078
Medical Identifiers
Medical identifiers for Christina Jacklyn Kirchen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134865561 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 2295279 (Minnesota) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 229527 (Minnesota) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 9380 (Minnesota) | 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. Christina Jacklyn Kirchen allows following entities to bill medicare on her behalf.
| Entity Name | Northern Tranquility Mental Health Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700469640
PECOS PAC ID: 4981009479
Enrollment ID: O20210820003039 |
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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. Christina Jacklyn Kirchen 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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Christina Jacklyn Kirchen, CNP
118 W Lake St,
Chisholm, MN 55719-1819
Ph: (218) 254-0101 | Christina Jacklyn Kirchen, CNP
118 W Lake St,
Chisholm, MN 55719-1819
Ph: (218) 343-0515 |
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