Kellie Ann Herringa, NP-C - Medicare Nurse Practitioner in Traverse City, MI

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Kellie Ann Herringa, NP-C is a medicare enrolled "Nurse Practitioner" in Traverse City, Michigan. Her current practice location is 1000 Pavillions Cir, Traverse City, Michigan. You can reach out to her office (for appointments etc.) via phone at (231) 932-3000.

Kellie Ann Herringa is licensed to practice in Michigan (license number 4704291998) 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 1013387000.

Contact Information

Kellie Ann Herringa, NP-C
1000 Pavillions Cir,
Traverse City, MI 49684-3198
(231) 932-3000
(231) 932-3801

Map and Direction




Provider's Profile

Full NameKellie Ann Herringa
GenderFemale
SpecialityNurse Practitioner
Location1000 Pavillions Cir, Traverse City, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013387000
  • Provider Enumeration Date: 10/02/2015
  • Last Update Date: 12/16/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 5496038101
  • Enrollment ID: I20170203000092

Medical Identifiers

Medical identifiers for Kellie Ann Herringa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013387000NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 4704291998 (Michigan)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. Kellie Ann Herringa allows following entities to bill medicare on her behalf.
Entity NameCovenant Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972590412
PECOS PAC ID: 2769387778
Enrollment ID: O20031209000107
Entity NameApogee Medical Group Michigan Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053655134
PECOS PAC ID: 9931347879
Enrollment ID: O20130604000688
Entity NameSamaritan Health Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598234056
PECOS PAC ID: 1254677719
Enrollment ID: O20190104001298
Entity NameBear River Primary Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609427541
PECOS PAC ID: 4284069063
Enrollment ID: O20200124001902

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. Kellie Ann Herringa 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
Kellie Ann Herringa, NP-C
10850 E Traverse Hwy, Ste. 4400,
Traverse City, MI 49684-1364

Ph: (231) 346-6800		Kellie Ann Herringa, NP-C
1000 Pavillions Cir,
Traverse City, MI 49684-3198

Ph: (231) 932-3000

Reviews and Comments


Nurse Practitioner Nurses in Traverse City, MI

Dr. Ariel Marie Ennis, NNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1105 Sixth St, Traverse City, MI 49684
Phone: 231-935-3250    
Harriet Sue Barner, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Pavillions Cir, Traverse City, MI 49684
Phone: 231-932-3000    Fax: 231-932-3801
Ms. Christine Marie Sykes, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 10767 E Traverse Hwy, Traverse City, MI 49684
Phone: 231-947-1112    
Ms. Karri G Hagan, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 815 Business Park Dr Ste A, Traverse City, MI 49686
Phone: 231-421-6921    Fax: 231-421-7852
Matthew Nathan Smith,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1104 Cass St, Traverse City, MI 49684
Phone: 231-941-1155    Fax: 231-259-1005
Carol Jean Sodman, RNC WHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1135 E 8th St, Traverse City, MI 49686
Phone: 231-929-1844    Fax: 231-949-2084

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.