Kelly Fields-wilburn, NP - Medicare Nurse Practitioner in Dexter, MO

Kelly Fields-wilburn, NP is a medicare enrolled "Nurse Practitioner" in Dexter, Missouri. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Poplar Bluff Regional Medical Center Llc, Select Physical Therapy Holdings Inc and her current practice location is 610 N One Mile Rd, Dexter, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 624-3600.

Kelly Fields-wilburn is licensed to practice in Missouri (license number 2001026712) 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 1588968606.

Contact Information

Kelly Fields-wilburn, NP
610 N One Mile Rd,
Dexter, MO 63841-2539
(573) 624-3600
Not Available

Map and Direction




Provider's Profile

Full NameKelly Fields-wilburn
GenderFemale
SpecialityNurse Practitioner
Experience14 Years
Location610 N One Mile Rd, Dexter, Missouri
Accepts Medicare AssignmentsYes. 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 Fields-wilburn graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1588968606
  • Provider Enumeration Date: 01/04/2011
  • Last Update Date: 09/01/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5698957645
  • Enrollment ID: I20110311000328

Medical Identifiers

Medical identifiers for Kelly Fields-wilburn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588968606NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 2001026712 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Missouri Delta Home HealthSikeston, MOHome health agency
Elara CaringDexter, MOHome health agency
Poplar Bluff Regional Medical CenterPoplar bluff, MOHospital
Southeasthealth Center Of Stoddard CountyDexter, MOHospital
SoutheasthealthCape girardeau, MOHospital
Saint Francis Medical CenterCape girardeau, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Poplar Bluff Regional Medical Center Llc68007072255
Select Physical Therapy Holdings Inc95370764011557

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 Fields-wilburn allows following entities to bill medicare on her behalf.
Entity NamePoplar Bluff Regional Medical Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730330168
PECOS PAC ID: 6800707225
Enrollment ID: O20090911000300
Entity NamePoplar Bluff Emergency Physicians, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679822647
PECOS PAC ID: 0648424614
Enrollment ID: O20130129000611

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 Fields-wilburn 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
Kelly Fields-wilburn, NP
200 Corporate Blvd, Suite 201,
Lafayette, LA 70508-3870

Ph: (800) 893-9698
Kelly Fields-wilburn, NP
610 N One Mile Rd,
Dexter, MO 63841-2539

Ph: (573) 624-3600

Reviews and Comments


Nurse Practitioner Nurses in Dexter, MO

Kerri Lynch, MSN, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1200 N One Mile Rd, Dexter, MO 63841
Phone: 573-624-7575    
Shantel Miles, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1212n Saint Francis Dr, Dexter, MO 63841
Phone: 573-624-3600    
Mr. Bradford Joseph Davis, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 808 Speciality Dr Ste A, Dexter, MO 63841
Phone: 573-891-1250    Fax: 573-891-1320
Ellen Vaughan, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 610 N. One Mile Road, Dexter, MO 63841
Phone: 573-624-3600    
Miss Ashley Marie Gantner, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1200 N One Mile Rd, Dexter, MO 63841
Phone: 573-624-7575    
Kristin Suzanne Wheeler Guethle, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1200 N One Mile Rd, Dexter, MO 63841
Phone: 573-421-3134    
Mrs. Laurie Muriel Jibben, APN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1200 N One Mile Rd, Dexter, MO 63841
Phone: 573-624-7575    Fax: 573-614-1966

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.