Kelsey Underwood, FNP in Black River Falls, WI

Kelsey Underwood, FNP is a medicare enrolled "Nurse Practitioner" in Black River Falls, Wisconsin. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Krohn Clinic Ltd and her current practice location is 610 W Adams St, Black River Falls, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 284-4311.

Kelsey Underwood is licensed to practice in Wisconsin (license number 11263-33) 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 1700555331.

Contact Information

	Kelsey Underwood, FNP
	610 W Adams St, Black River Falls, WI 54615-9110
	(715) 284-4311
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelsey Underwood
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	610 W Adams St, Black River Falls, Wisconsin
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 Underwood graduated from nursing school in 2021

NPI Data:

NPI Number: 1700555331
Provider Enumeration Date: 09/08/2021
Last Update Date: 07/26/2024

Medicare PECOS Information:

PECOS PAC ID: 9032508817
Enrollment ID: I20211117000020

Medical Identifiers

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

Identifier	Type	State	Issuer
1700555331	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	11263-33 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Krohn Clinic Ltd	3577464916	20

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 Underwood allows following entities to bill medicare on her behalf.

Entity Name	Krohn Clinic Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790777621 PECOS PAC ID: 3577464916 Enrollment ID: O20040119000050

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 Underwood 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 Underwood, FNP 601 W Adams St, Black River Falls, WI 54615-9010 Ph: (715) 284-4311	Kelsey Underwood, FNP 610 W Adams St, Black River Falls, WI 54615-9110 Ph: (715) 284-4311

Reviews and Comments

Nurse Practitioner Nurses in Black River Falls, WI

Brenna Ann Peters, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 711 W Adams St, Black River Falls, WI 54615 Phone: 715-284-5361
Mrs. Jennifer Christine Hanson, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 711 W Adams St, Black River Falls, WI 54615 Phone: 715-284-5361
Lauren Hannelore Hasler, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 610 W Adams St, Black River Falls, WI 54615 Phone: 715-284-1899 Fax: 715-284-0475
Tina Louise Opelt, RN MS CS FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 711 W Adams St, Black River Falls, WI 54615 Phone: 715-284-3662
Heather Struensee, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 711 W Adams St, Black River Falls, WI 54615 Phone: 715-284-5361
Patricia A Jacobson, APNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 502 Main St, Black River Falls, WI 54615 Phone: 715-284-2003 Fax: 715-284-2008

Kelsey Underwood, FNP - Medicare Nurse Practitioner in Black River Falls, WI