Kelly Edlebeck, APNP in Sheboygan, WI - Medicare Nurse Practitioner

Kelly Edlebeck, APNP is a medicare enrolled "Nurse Practitioner - Family" in Sheboygan, Wisconsin. Her current practice location is 1411 N Taylor Dr, Sheboygan, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 496-4700.

Kelly Edlebeck is licensed to practice in Wisconsin (license number 12165-33) 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 1558003723.

Contact Information

	Kelly Edlebeck, APNP
	1411 N Taylor Dr, Sheboygan, WI 53081-3043
	(920) 496-4700
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Edlebeck
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1411 N Taylor Dr, Sheboygan, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558003723
Provider Enumeration Date: 04/08/2022
Last Update Date: 02/09/2023

Medicare PECOS Information:

PECOS PAC ID: 5890163109
Enrollment ID: I20221117001445

Medical Identifiers

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

Identifier	Type	State	Issuer
1558003723	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	12165-33 (Wisconsin)	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 Edlebeck allows following entities to bill medicare on her behalf.

Entity Name	Prevea Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306869276 PECOS PAC ID: 0042123150 Enrollment ID: O20031106000034

Entity Name	St. Nicholas Hospital-sisters Of The Third Order Of St Francis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172

Entity Name	St Vincent Hospital-hospital Sisters-third Order Of St Francis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423

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 Edlebeck 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 Edlebeck, APNP 1411 N Taylor Dr, Sheboygan, WI 53081-3043 Ph: (920) 496-4700	Kelly Edlebeck, APNP 1411 N Taylor Dr, Sheboygan, WI 53081-3043 Ph: (920) 496-4700

Reviews and Comments

Nurse Practitioner Nurses in Sheboygan, WI

Erin Jessie Holzman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461
Mrs. Doris U Theune, MS RN CS Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2920 Superior Ave, Sheboygan, WI 53081 Phone: 920-453-5414 Fax: 920-803-2990
Dr. Holly Ann Bartlein, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1411 North Taylor Dr., Sheboygan, WI 53081 Phone: 920-457-4858
Dr. Amanda Beinemann, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3100 Superior Ave, Sheboygan, WI 53081 Phone: 920-459-8300
Pamela A Higgins, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3400 Union Ave, Sheboygan, WI 53081 Phone: 920-828-2700 Fax: 920-828-2705
Mary Lou Roethel, MSN,NP-C,APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1621 N Taylor Dr, Suite 300, Sheboygan, WI 53081 Phone: 920-496-4700
Jennifer L Thickens, APNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3100 Superior Ave, Sheboygan, WI 53081 Phone: 920-496-4700

Kelly Edlebeck, APNP - Medicare Nurse Practitioner in Sheboygan, WI