Kelly Diane Grossman, CNP, DNP in Rochester, MN

Kelly Diane Grossman, CNP, DNP is a medicare enrolled "Nurse Practitioner" in Rochester, Minnesota. Her current practice location is 200 1st St Sw, Rochester, Minnesota. You can reach out to her office (for appointments etc.) via phone at (507) 993-0102.

Kelly Diane Grossman is licensed to practice in Minnesota (license number 8457) 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 1790453744.

Contact Information

	Kelly Diane Grossman, CNP, DNP
	200 1st St Sw, Rochester, MN 55905-1635
	(507) 993-0102
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Diane Grossman
Gender	Female
Speciality	Nurse Practitioner
Location	200 1st St Sw, Rochester, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790453744
Provider Enumeration Date: 09/03/2021
Last Update Date: 08/12/2022

Medicare PECOS Information:

PECOS PAC ID: 6103210281
Enrollment ID: I20220307001742

Medical Identifiers

Medical identifiers for Kelly Diane Grossman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790453744	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	8457 (Minnesota)	Secondary
363L00000X	Nurse Practitioner	8457 (Minnesota)	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. Kelly Diane Grossman allows following entities to bill medicare on her behalf.

Entity Name	Mayo Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922074434 PECOS PAC ID: 6507778255 Enrollment ID: O20031103000285

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 Diane Grossman 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 Diane Grossman, CNP, DNP 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511	Kelly Diane Grossman, CNP, DNP 200 1st St Sw, Rochester, MN 55905-1635 Ph: (507) 993-0102

Reviews and Comments

Nurse Practitioner Nurses in Rochester, MN

Nicole S Nipper, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511
Brandi D'souza, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511
Joan Grotewold, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5067 55th St Sw, Rochester, MN 55901 Phone: 507-292-7070
Amy Behnken, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511
Judith Akinyi Okoth Dogo, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511
Ms. Katrina L Gabelko, APRN CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25 16th St Ne, Rochester, MN 55906 Phone: 612-444-3000 Fax: 612-444-9000
Theresa D Arnold Ewing, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511

Kelly Diane Grossman, CNP, DNP - Medicare Nurse Practitioner in Rochester, MN