Kelly Marie Leach, FNP-C | |
1300 S Columbia Rd, Grand Forks, ND 58201 | |
(701) 780-2300 | |
Not Available |
Full Name | Kelly Marie Leach |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 15 Years |
Location | 1300 S Columbia Rd, Grand Forks, North Dakota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972836385 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R156241-1 (Minnesota) | Secondary |
363LF0000X | Nurse Practitioner - Family | R29405 (North Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Altru Health System Renal Dialysis At Lifecare | Roseau, MN | Dialysis facility |
Altru Health System Renal Dialysis Crookston | Crookston, MN | Dialysis facility |
Altru Hospital | Grand forks, ND | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Altru Health System | 1355251604 | 520 |
Entity Name | Altru Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043309552 PECOS PAC ID: 1355251604 Enrollment ID: O20031111000714 |
Mailing Address | Practice Location Address |
---|---|
Kelly Marie Leach, FNP-C 2401 Demers Ave, Grand Forks, ND 58201 Ph: (701) 780-1891 | Kelly Marie Leach, FNP-C 1300 S Columbia Rd, Grand Forks, ND 58201 Ph: (701) 780-2300 |
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 |