Kelsey Donnette Kruckeberg, APRN-CNP in Tulsa, OK

Kelsey Donnette Kruckeberg, APRN-CNP is a medicare enrolled "Nurse Practitioner - Family" in Tulsa, Oklahoma. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Omni Medical Group Inc and her current practice location is 8115 S Memorial Dr, Tulsa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 254-6315.

Kelsey Donnette Kruckeberg is licensed to practice in Oklahoma (license number R0114800) 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 1356994974.

Contact Information

	Kelsey Donnette Kruckeberg, APRN-CNP
	8115 S Memorial Dr, Tulsa, OK 74133-4331
	(918) 254-6315
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelsey Donnette Kruckeberg
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	8115 S Memorial Dr, Tulsa, Oklahoma
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelsey Donnette Kruckeberg graduated from nursing school in 2019

NPI Data:

NPI Number: 1356994974
Provider Enumeration Date: 07/23/2019
Last Update Date: 07/23/2019

Medicare PECOS Information:

PECOS PAC ID: 9830421551
Enrollment ID: I20191030002028

Medical Identifiers

Medical identifiers for Kelsey Donnette Kruckeberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356994974	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R0114800 (Oklahoma)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St John Medical Center, Inc	Tulsa, OK	Hospital
Ascension St John Broken Arrow	Broken arrow, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Omni Medical Group Inc	9739080490	83

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. Kelsey Donnette Kruckeberg allows following entities to bill medicare on her behalf.

Entity Name	Omni Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174578249 PECOS PAC ID: 9739080490 Enrollment ID: O20040115000897

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. Kelsey Donnette Kruckeberg 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
Kelsey Donnette Kruckeberg, APRN-CNP 11528 S Mulberry Ln, Jenks, OK 74037-2123 Ph: () -	Kelsey Donnette Kruckeberg, APRN-CNP 8115 S Memorial Dr, Tulsa, OK 74133-4331 Ph: (918) 254-6315

Reviews and Comments

Nurse Practitioner Nurses in Tulsa, OK

Jennifer Christa Pimentel, ARNP, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6565 S Yale Ave Ste 209, Tulsa, OK 74136 Phone: 918-392-4550 Fax: 918-392-4551
Casie Nicole Brim, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1919 S Wheeling Ave, Suite 606, Tulsa, OK 74104 Phone: 918-748-7676 Fax: 918-293-3130
Jared Qualls, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1145 S Utica Ave, Suite 460, Tulsa, OK 74104 Phone: 918-579-5749 Fax: 918-579-5762
Adekemi Taiwo, APRN - CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 Phone: 918-615-3750
Stephanie Ann Adame, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12697 E 51st St, Tulsa, OK 74146 Phone: 918-505-3200
Mrs. Susan Elaine Graham, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2408 E 81st St Ste 900, Tulsa, OK 74137 Phone: 918-319-5021 Fax: 918-477-5853
Lisa Michele Sample, AG-ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6161 S Yale Ave, Tulsa, OK 74136 Phone: 918-494-2200

Kelsey Donnette Kruckeberg, APRN-CNP - Medicare Nurse Practitioner in Tulsa, OK