Kelli Sue Doll, APRN - Medicare Nurse Practitioner in Omaha, NE

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Kelli Sue Doll, APRN is a medicare enrolled "Nurse Practitioner - Family" in Omaha, Nebraska. Her current practice location is 16901 Lakeside Hills Ct, Omaha, Nebraska. You can reach out to her office (for appointments etc.) via phone at (855) 524-4001.

Kelli Sue Doll is licensed to practice in Nebraska (license number 111712) 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 1467853424.

Contact Information

Kelli Sue Doll, APRN
16901 Lakeside Hills Ct,
Omaha, NE 68130-2318
(855) 524-4001
(402) 717-7340

Map and Direction




Provider's Profile

Full NameKelli Sue Doll
GenderFemale
SpecialityNurse Practitioner - Family
Location16901 Lakeside Hills Ct, Omaha, Nebraska
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1467853424
  • Provider Enumeration Date: 09/09/2014
  • Last Update Date: 08/29/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4880816438
  • Enrollment ID: I20141114000667

Medical Identifiers

Medical identifiers for Kelli Sue Doll such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467853424NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 111712 (Nebraska)Primary
363L00000XNurse Practitioner 111712 (Nebraska)Secondary
363LF0000XNurse Practitioner - Family A138823 (Iowa)Secondary

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. Kelli Sue Doll allows following entities to bill medicare on her behalf.
Entity NameMadonna Rehabilitation Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417045642
PECOS PAC ID: 0446164081
Enrollment ID: O20031118000079
Entity NameNew Century Physicians Of Nebraska Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063411833
PECOS PAC ID: 3173429537
Enrollment ID: O20031208001061
Entity NameThe Physician Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437184652
PECOS PAC ID: 3476453267
Enrollment ID: O20040128001100
Entity NameAlegent Creighton Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548287907
PECOS PAC ID: 1951210418
Enrollment ID: O20040407001314
Entity NameEmergency Clinicians Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265498661
PECOS PAC ID: 3476511619
Enrollment ID: O20041220001113
Entity NameEmergency Physician Associates Of Nebraska Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013302413
PECOS PAC ID: 1456670850
Enrollment ID: O20150506002911
Entity NameEpn Of Nebraska Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205382264
PECOS PAC ID: 3375830623
Enrollment ID: O20160929002071
Entity NameChi Health Clinic Specialty Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285138065
PECOS PAC ID: 4789098443
Enrollment ID: O20210121000492

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. Kelli Sue Doll 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
Kelli Sue Doll, APRN
16901 Lakeside Hills Ct,
Omaha, NE 68130-2318

Ph: (855) 524-4001		Kelli Sue Doll, APRN
16901 Lakeside Hills Ct,
Omaha, NE 68130-2318

Ph: (855) 524-4001

Reviews and Comments


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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.