Janelle Elizabeth Kidder, NP | |
2104 Northdale Blvd Nw, Suite 220, Coon Rapids, MN 55433-3028 | |
(763) 537-6000 | |
(763) 537-6666 |
Full Name | Janelle Elizabeth Kidder |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 18 Years |
Location | 2104 Northdale Blvd Nw, Coon Rapids, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437334935 | NPI | - | NPPES |
209006895 | Other | IL | APN LICENSE |
CNP 3902 | Other | MN | MINNESOTA NP LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209.006895 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | CNP 3902 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hayward Area Memorial Hospital | Hayward, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Lakes Community Health Center Inc | 0840366654 | 67 |
Entity Name | The Lakes Community Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811178825 PECOS PAC ID: 0840366654 Enrollment ID: O20101019000186 |
Mailing Address | Practice Location Address |
---|---|
Janelle Elizabeth Kidder, NP 2104 Northdale Blvd Nw, Suite 220, Coon Rapids, MN 55433-3028 Ph: (763) 537-6000 | Janelle Elizabeth Kidder, NP 2104 Northdale Blvd Nw, Suite 220, Coon Rapids, MN 55433-3028 Ph: (763) 537-6000 |
Kamrie Ann Parrott, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11850 Blackfoot St Nw, Ste 130, Coon Rapids, MN 55433 Phone: 763-236-2045 | |
Dr. Diane Elizabeth Beary, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155 | |
Dr. Judith Onduso, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-6000 Fax: 763-236-8410 | |
Rachel Margaret Bethke, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4040 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-427-9980 | |
Miranda K Lutterman, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11660 Round Lake Blvd Nw, Coon Rapids, MN 55433 Phone: 763-767-3350 | |
Joanne M Hynes, RN, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155 | |
Suzanne L Schinzel, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11475 Robinson Dr Nw, Coon Rapids, MN 55433 Phone: 763-712-6000 Fax: 763-754-4614 |