Kelly A Spray, CNP is a medicare enrolled "Nurse Practitioner - Family" in Pequot Lakes, Minnesota. Her current practice location is
4317 W Woodman St, Pequot Lakes, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 568-4416.
Kelly A Spray is licensed to practice in Minnesota (license number R194132-0) 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 1487095915.
Provider's Profile
Full Name | Kelly A Spray |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 4317 W Woodman St, Pequot Lakes, Minnesota |
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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:
- Kelly A Spray attended and graduated from in
NPI Data:
- NPI Number: 1487095915
- Provider Enumeration Date: 07/12/2013
- Last Update Date: 01/15/2016
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kelly A Spray such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487095915 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | R194132-0 (Minnesota) | Primary |
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. Kelly A Spray 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 |
Kelly A Spray, CNP 523 N 3rd St, Brainerd, MN 56401-3054 Ph: (218) 829-2861 | Kelly A Spray, CNP 4317 W Woodman St, Pequot Lakes, MN 56472-3473 Ph: (218) 568-4416 |
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