Kathleen Elizabeth Pengelly, CNP in Saint Paul, MN

Kathleen Elizabeth Pengelly, CNP is a medicare enrolled "Registered Nurse - Psychiatric/mental Health, Adult" in Saint Paul, Minnesota. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mental Health Resources and her current practice location is 762 Transfer Rd Ste 21, Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 659-2900.

Kathleen Elizabeth Pengelly is licensed to practice in Minnesota (license number 138239-0) 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 1760956668.

Contact Information

	Kathleen Elizabeth Pengelly, CNP
	762 Transfer Rd Ste 21, Saint Paul, MN 55114-1489
	(651) 659-2900
	(651) 645-7307

Map and Direction

Provider's Profile

Full Name	Kathleen Elizabeth Pengelly
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	762 Transfer Rd Ste 21, Saint Paul, 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:

Kathleen Elizabeth Pengelly graduated from nursing school in 2019

NPI Data:

NPI Number: 1760956668
Provider Enumeration Date: 01/15/2019
Last Update Date: 08/15/2019

Medicare PECOS Information:

PECOS PAC ID: 5193053411
Enrollment ID: I20190826000339

Medical Identifiers

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

Identifier	Type	State	Issuer
1760956668	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	6667 (Minnesota)	Secondary
163WP0809X	Registered Nurse - Psychiatric/mental Health, Adult	138239-0 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mental Health Resources	0446144992	3

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 Elizabeth Pengelly allows following entities to bill medicare on her behalf.

Entity Name	Mental Health Resources
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821276049 PECOS PAC ID: 0446144992 Enrollment ID: O20181106000582

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 Elizabeth Pengelly 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 Elizabeth Pengelly, CNP 762 Transfer Rd Ste 21, Saint Paul, MN 55114-1489 Ph: (651) 955-3397	Kathleen Elizabeth Pengelly, CNP 762 Transfer Rd Ste 21, Saint Paul, MN 55114-1489 Ph: (651) 659-2900

Reviews and Comments

Registered Nurse Nurses in Saint Paul, MN

Anne Coleman, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1953 University Ave W, Saint Paul, MN 55104 Phone: 651-659-0208 Fax: 651-659-0161
Mrs. Channa Roxanne Pittman, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1115 Greenbrier St, Saint Paul, MN 55106 Phone: 651-354-4228 Fax: 651-797-4413
Samantha Perkins, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1757 Juliet Ave, Saint Paul, MN 55105 Phone: 651-888-0773
Patra Ann Borden, MSN, APRN, NNP-BC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 347 Smith Ave N, Saint Paul, MN 55102 Phone: 651-220-6000
Gretchen Barsch, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 934 Randolph Ave, Saint Paul, MN 55102 Phone: 612-961-6668
Laura Spong, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 555 Cedar St, Saint Paul, MN 55101 Phone: 651-266-1343
Ms. Lisa Kay Boben, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 225 Smith Ave N # 100, Saint Paul, MN 55102 Phone: 651-292-0616

Kathleen Elizabeth Pengelly, CNP - Medicare Nurse Practitioner in Saint Paul, MN