Courtney Kiesow, NP in Minneapolis, MN - Medicare Nurse Practitioner

Courtney Kiesow, NP is a medicare enrolled "Nurse Practitioner - Women's Health" in Minneapolis, Minnesota. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice County Of Ramsey and her current practice location is 525 Portland Ave, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 543-5555.

Courtney Kiesow is licensed to practice in Minnesota (license number CNP4185) 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 1750759502.

Contact Information

	Courtney Kiesow, NP
	525 Portland Ave, Minneapolis, MN 55415-1533
	(612) 543-5555
	(612) 596-7900

Map and Direction

Provider's Profile

Full Name	Courtney Kiesow
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	525 Portland Ave, Minneapolis, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Courtney Kiesow graduated from nursing school in 2015

NPI Data:

NPI Number: 1750759502
Provider Enumeration Date: 09/10/2015
Last Update Date: 10/22/2024

Medicare PECOS Information:

PECOS PAC ID: 9830499714
Enrollment ID: I20151125000576

Medical Identifiers

Medical identifiers for Courtney Kiesow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750759502	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	CNP4185 (Minnesota)	Secondary
363LW0102X	Nurse Practitioner - Women's Health	CNP4185 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
County Of Ramsey	8224941992	7

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. Courtney Kiesow allows following entities to bill medicare on her behalf.

Entity Name	County Of Ramsey
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942369475 PECOS PAC ID: 8224941992 Enrollment ID: O20031110000026

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. Courtney Kiesow 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
Courtney Kiesow, NP 525 Portland Ave, Minneapolis, MN 55415-1533 Ph: (612) 596-7005	Courtney Kiesow, NP 525 Portland Ave, Minneapolis, MN 55415-1533 Ph: (612) 543-5555

Reviews and Comments

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Courtney Kiesow, NP - Medicare Nurse Practitioner in Minneapolis, MN