Kellie Nielsen, APRN, FNP in Brigham City, UT

Kellie Nielsen, APRN, FNP is a medicare enrolled "Nurse Practitioner - Family" in Brigham City, Utah. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wholelife Family Wellness Clinic Of Providence Pllc and her current practice location is 600 W Hospital Rd, Brigham City, Utah. You can reach out to her office (for appointments etc.) via phone at (435) 734-2041.

Kellie Nielsen is licensed to practice in Utah (license number 5113808-4405) 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 1992154777.

Contact Information

	Kellie Nielsen, APRN, FNP
	600 W Hospital Rd, Brigham City, UT 84302-3006
	(435) 734-2041
	(435) 723-8028

Map and Direction

Provider's Profile

Full Name	Kellie Nielsen
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	600 W Hospital Rd, Brigham City, Utah
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:

Kellie Nielsen graduated from nursing school in 2016

NPI Data:

NPI Number: 1992154777
Provider Enumeration Date: 06/13/2016
Last Update Date: 10/18/2016

Medicare PECOS Information:

PECOS PAC ID: 3779863543
Enrollment ID: I20180724002474

Medical Identifiers

Medical identifiers for Kellie Nielsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992154777	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5113808-4405 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Brigham City Community Hospital	Brigham city, UT	Hospital
Logan Regional Hospital	Logan, UT	Hospital
Bear River Valley Hospital	Tremonton, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wholelife Family Wellness Clinic Of Providence Pllc	5193153294	6

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 Nielsen allows following entities to bill medicare on her behalf.

Entity Name	Wholelife Family Wellness Clinic Of Providence Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962049932 PECOS PAC ID: 5193153294 Enrollment ID: O20200324003049

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 Nielsen 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
Kellie Nielsen, APRN, FNP Po Box 719, Brigham City, UT 84302-0719 Ph: (435) 734-2041	Kellie Nielsen, APRN, FNP 600 W Hospital Rd, Brigham City, UT 84302-3006 Ph: (435) 734-2041

Reviews and Comments

Nurse Practitioner Nurses in Brigham City, UT

Justin Michael Woodruff, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 663 Parker Lane, Brigham City, UT 84302 Phone: 435-734-9449
Miranda Buttars, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1010 S Medical Dr, Brigham City, UT 84302 Phone: 435-310-5800
Lindee P Allen, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 W Hospital Rd, Brigham City, UT 84302 Phone: 435-734-2041 Fax: 435-723-8028
Mr. Kirk Russell Waldron, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 770 S 200 E Ste 102, Brigham City, UT 84302 Phone: 801-513-9652
Lynn C Larsen, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 984 Medical Dr Ste 1, Brigham City, UT 84302 Phone: 435-723-5248 Fax: 435-723-5240
Katie Marie Cummings, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 903 S Main St Ste A, Brigham City, UT 84302 Phone: 801-941-6770
Julie C. Child, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1050 South Medical Drive, Ste 101, Brigham City, UT 84302 Phone: 435-538-1733 Fax: 435-538-1752

Kellie Nielsen, APRN, FNP - Medicare Nurse Practitioner in Brigham City, UT