Kelly Jean Stauss Carlson, NP-C - Medicare Nurse Practitioner in Grand Forks, ND

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Kelly Jean Stauss Carlson, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Grand Forks, North Dakota. She went to University Of North Dakota School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kidney And Hypertension Plc and her current practice location is 1000 South Columbia Road, Grand Forks, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 780-5000.

Kelly Jean Stauss Carlson is licensed to practice in North Dakota (license number R28140) 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 1306126255.

Contact Information

Kelly Jean Stauss Carlson, NP-C
1000 South Columbia Road,
Grand Forks, ND 58206-6002
(701) 780-5000
(701) 235-2099

Map and Direction




Provider's Profile

Full NameKelly Jean Stauss Carlson
GenderFemale
SpecialityNurse Practitioner
Experience13 Years
Location1000 South Columbia Road, Grand Forks, North Dakota
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 Jean Stauss Carlson attended and graduated from University Of North Dakota School Of Medicine in 2011
  NPI Data:
  • NPI Number: 1306126255
  • Provider Enumeration Date: 08/24/2011
  • Last Update Date: 10/25/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 0749454114
  • Enrollment ID: I20111121000515

Medical Identifiers

Medical identifiers for Kelly Jean Stauss Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306126255NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R28140 (North Dakota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kidney And Hypertension Plc86289745327

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 Jean Stauss Carlson allows following entities to bill medicare on her behalf.
Entity NameKidney And Hypertension Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285742262
PECOS PAC ID: 8628974532
Enrollment ID: O20031211000091

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 Jean Stauss Carlson 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 Jean Stauss Carlson, NP-C
Po Box 6002,
Grand Forks, ND 58206-6002

Ph: (701) 780-5000		Kelly Jean Stauss Carlson, NP-C
1000 South Columbia Road,
Grand Forks, ND 58206-6002

Ph: (701) 780-5000

Reviews and Comments


Nurse Practitioner Nurses in Grand Forks, ND

Ms. Estella Ann Boger, GNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1000 S Columbia Rd, Grand Forks, ND 58201
Phone: 701-780-5000    
Bethann Marie Nuelle, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4700 S Washington St, Grand Forks, ND 58201
Phone: 701-757-2559    
Ms. Mary Pat Holler-bibel, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 718 Oak St, Grand Forks, ND 58201
Phone: 218-230-0070    Fax: 800-958-7702
Kayla Clausen, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 960 S Columbia Rd, Grand Forks, ND 58201
Phone: 701-780-5400    Fax: 701-780-6416
Laura Olson,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1300 S Columbia Rd, Grand Forks, ND 58201
Phone: 701-780-2300    Fax: 701-780-6940
Ethan Lee Thomas, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4440 S. Washington St., Grand Forks, ND 58201
Phone: 701-732-7000    
Kamrin L Macki, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4440 S Washington St - Altru Professional Center, Grand Forks, ND 58201
Phone: 701-732-7000    

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.