Jessica Sue Kellerman, CNP - Medicare Nurse Practitioner in Rapid City, SD

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Jessica Sue Kellerman, CNP is a medicare enrolled "Nurse Practitioner" in Rapid City, South Dakota. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Monument Health Rapid City Hospital Inc and her current practice location is 353 Fairmont Blvd, Rapid City, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 644-4431.

Jessica Sue Kellerman is licensed to practice in South Dakota (license number CP001318) 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 1073028593.

Contact Information

Jessica Sue Kellerman, CNP
353 Fairmont Blvd,
Rapid City, SD 57701-7375
(605) 644-4431
Not Available

Map and Direction




Provider's Profile

Full NameJessica Sue Kellerman
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location353 Fairmont Blvd, Rapid City, South Dakota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jessica Sue Kellerman graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1073028593
  • Provider Enumeration Date: 12/06/2017
  • Last Update Date: 01/24/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1850728676
  • Enrollment ID: I20200302000785

Medical Identifiers

Medical identifiers for Jessica Sue Kellerman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073028593NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care CP001318 (South Dakota)Secondary
363L00000XNurse Practitioner CP001318 (South Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Monument Health Rapid City HospitalRapid city, SDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Monument Health Rapid City Hospital Inc6002729506431

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. Jessica Sue Kellerman allows following entities to bill medicare on her behalf.
Entity NameMonument Health Rapid City Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275553463
PECOS PAC ID: 6002729506
Enrollment ID: O20070625000144
Entity NameVibra Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659705424
PECOS PAC ID: 8921233933
Enrollment ID: O20240501001760

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. Jessica Sue Kellerman 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 AddressPractice Location Address
Jessica Sue Kellerman, CNP
353 Fairmont Blvd,
Rapid City, SD 57701-7375

Ph: (605) 755-8107		Jessica Sue Kellerman, CNP
353 Fairmont Blvd,
Rapid City, SD 57701-7375

Ph: (605) 644-4431

Reviews and Comments


Nurse Practitioner Nurses in Rapid City, SD

Maria Sargent, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 353 Fairmont Blvd, Rapid City, SD 57701
Phone: 605-755-1000    
Kayla Sayer,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 640 Flormann St, Rapid City, SD 57701
Phone: 605-755-3300    
Jennifer Ann Erdman, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 636 Saint Anne St, Rapid City, SD 57701
Phone: 605-348-8000    Fax: 605-348-4315
Morgan Folchert, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1760 Centre St Ste 2, Rapid City, SD 57703
Phone: 308-249-2912    
Paulette A Kirby, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 811 Columbus St, Rapid City, SD 57701
Phone: 605-343-3007    
Rebecca Bierle,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4150 5th St, Rapid City, SD 57701
Phone: 605-755-4300    
Kendra C. Storm, DNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3615 5th St Ste 107, Rapid City, SD 57701
Phone: 605-391-4686    Fax: 605-791-0164

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.