Kerri Renee Self, PMHNP - Medicare Nurse Practitioner in Portales, NM

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Kerri Renee Self, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Portales, New Mexico. Her current practice location is 405 W 4th St, Portales, New Mexico. You can reach out to her office (for appointments etc.) via phone at (575) 226-3898.

Kerri Renee Self is licensed to practice in New Mexico (license number 75355) 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 1144005224.

Contact Information

Kerri Renee Self, PMHNP
405 W 4th St,
Portales, NM 88130-6364
(575) 226-3898
(575) 226-3890

Map and Direction




Provider's Profile

Full NameKerri Renee Self
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location405 W 4th St, Portales, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144005224
  • Provider Enumeration Date: 08/28/2023
  • Last Update Date: 07/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8921456401
  • Enrollment ID: I20231121003420

Medical Identifiers

Medical identifiers for Kerri Renee Self such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144005224NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 75355 (New Mexico)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. Kerri Renee Self allows following entities to bill medicare on her behalf.
Entity NameThe Psychiatric Care Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669729711
PECOS PAC ID: 3476877507
Enrollment ID: O20150121001028
Entity NameSelf Care Psychiatry, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306624598
PECOS PAC ID: 7012365596
Enrollment ID: O20231121003341

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. Kerri Renee Self 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
Kerri Renee Self, PMHNP
405 W 4th St,
Portales, NM 88130-6364

Ph: (575) 226-3898		Kerri Renee Self, PMHNP
405 W 4th St,
Portales, NM 88130-6364

Ph: (575) 226-3898

Reviews and Comments


Nurse Practitioner Nurses in Portales, NM

Mrs. Shanna Lee Campbell, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 42121 Us Highway 70, Portales, NM 88130
Phone: 575-356-6652    
Lindsay Young, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 42121 Us Highway 70, Portales, NM 88130
Phone: 575-356-6652    Fax: 575-359-6827
Teresa Claire Evan,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1515 W Fir St, Portales, NM 88130
Phone: 575-356-6695    Fax: 575-356-5948
Eva F Toelle, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 42121 Us Hwy 70, Portales, NM 88130
Phone: 575-356-6652    Fax: 575-359-6827
Sylvia Anne Rife, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 42121 Us Hwy 70, Portales, NM 88130
Phone: 575-356-6652    Fax: 575-226-0099
Mrs. Johanna Christine Pettrey, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1515 W Fir St, Portales, NM 88130
Phone: 575-356-6695    

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.