Kathleen Averill, NP in Minneapolis, MN - Medicare Nurse Practitioner

Kathleen Averill, NP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Minneapolis, Minnesota. Her current practice location is 2535 University Ave Se, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 672-2350.

Kathleen Averill is licensed to practice in Illinois (license number 209-004900) 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 1851570956.

Contact Information

	Kathleen Averill, NP
	2535 University Ave Se, Minneapolis, MN 55414-3205
	(612) 672-2350
	Not Available

Map and Direction

Provider's Profile

Full Name	Kathleen Averill
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	2535 University Ave Se, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851570956
Provider Enumeration Date: 10/25/2007
Last Update Date: 01/04/2019

Medicare PECOS Information:

PECOS PAC ID: 1254678162
Enrollment ID: I20190131000848

Medical Identifiers

Medical identifiers for Kathleen Averill such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851570956	NPI	-	NPPES
209-004900	Other	IL	CNP LICENSE
6134	Other	MN	BOARD OF NURSING

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	209-004900 (Illinois)	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. Kathleen Averill allows following entities to bill medicare on her behalf.

Entity Name	Fairview Clinics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516

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. Kathleen Averill 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
Kathleen Averill, NP 1625 Avenue Of The Cities, Moline, IL 61265-4856 Ph: (309) 797-5437	Kathleen Averill, NP 2535 University Ave Se, Minneapolis, MN 55414-3205 Ph: (612) 672-2350

Reviews and Comments

Nurse Practitioner Nurses in Minneapolis, MN

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Mrs. Mary Susan Clipp, CPNP-AC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-365-3100 Fax: 612-365-3110
Derek Przybylski, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2525 Chicago Ave, Minneapolis, MN 55404 Phone: 715-207-9330
Dr. Kenneth Mcrae, DNP, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 763-236-5000
Hannah L. Balfanz, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 814 South 3rd Street, Minneapolis, MN 55415 Phone: 612-888-9792

Kathleen Averill, NP - Medicare Nurse Practitioner in Minneapolis, MN