Kelly Kristine Parish-larson, RN, CNP - Medicare Nurse Practitioner in Superior, WI

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Kelly Kristine Parish-larson, RN, CNP is a medicare enrolled "Nurse Practitioner - Family" in Superior, Wisconsin. Her current practice location is 3500 Tower Ave, Essentia Health St. Mary's Superior Clinic, Superior, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 395-5454.

Kelly Kristine Parish-larson is licensed to practice in Wisconsin (license number 5377-33) 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 1316386998.

Contact Information

Kelly Kristine Parish-larson, RN, CNP
3500 Tower Ave, Essentia Health St. Mary's Superior Clinic,
Superior, WI 54880-5335
(715) 395-5454
Not Available

Map and Direction




Provider's Profile

Full NameKelly Kristine Parish-larson
GenderFemale
SpecialityNurse Practitioner - Family
Location3500 Tower Ave, Superior, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1316386998
  • Provider Enumeration Date: 06/18/2013
  • Last Update Date: 10/23/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5698900892
  • Enrollment ID: I20131024000183

Medical Identifiers

Medical identifiers for Kelly Kristine Parish-larson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316386998NPI-NPPES
1316386998MedicaidMN
1316386998MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 193379-30 (Wisconsin)Secondary
363LF0000XNurse Practitioner - Family 5377-33 (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 Kristine Parish-larson allows following entities to bill medicare on her behalf.
Entity NameSt Marys Hospital Of Superior
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083657886
PECOS PAC ID: 8628964228
Enrollment ID: O20040309000070

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 Kristine Parish-larson 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 Kristine Parish-larson, RN, CNP
3500 Tower Ave, Essentia Health St. Mary's Superior Clinic,
Superior, WI 54880-5335

Ph: (715) 395-5454		Kelly Kristine Parish-larson, RN, CNP
3500 Tower Ave, Essentia Health St. Mary's Superior Clinic,
Superior, WI 54880-5335

Ph: (715) 395-5454

Reviews and Comments


Nurse Practitioner Nurses in Superior, WI

Nicole Kristine-baur Bakken, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3500 Tower Ave, Essentia Health St. Mary's Superior Clinic, Superior, WI 54880
Phone: 715-395-5454    
Marisa M Gehl, APRN, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 109 N 28th St E, Superior, WI 54880
Phone: 218-249-5555    
Ms. Katie Lange Howard, APRN, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3500 Tower Ave, Superior, WI 54880
Phone: 715-817-7100    
Elaina A Fischer, APRN,CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3500 Tower Ave, Superior, WI 54880
Phone: 715-817-7100    
Kelly Page Sweet, APRN, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3500 Tower Ave, Superior, WI 54880
Phone: 715-817-7100    
Jan Michael Broad, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 6 Sandpiper Pl, Superior, WI 54880
Phone: 715-392-9192    

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.