Kimberly Dawn Pettinelli, NP in Hibbing, MN - Medicare Nurse Practitioner

Kimberly Dawn Pettinelli, NP is a medicare enrolled "Nurse Practitioner" in Hibbing, Minnesota. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Range Regional Health Services and her current practice location is 3605 Mayfair Ave, Hibbing, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 262-3441.

Kimberly Dawn Pettinelli is licensed to practice in Minnesota (license number 129504-7) 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 1659664852.

Contact Information

	Kimberly Dawn Pettinelli, NP
	3605 Mayfair Ave, Hibbing, MN 55746-2935
	(218) 262-3441
	(218) 362-6908

Map and Direction

Provider's Profile

Full Name	Kimberly Dawn Pettinelli
Gender	Female
Speciality	Nurse Practitioner
Experience	13 Years
Location	3605 Mayfair Ave, Hibbing, Minnesota
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:

Kimberly Dawn Pettinelli graduated from nursing school in 2011

NPI Data:

NPI Number: 1659664852
Provider Enumeration Date: 05/20/2011
Last Update Date: 05/06/2014

Medicare PECOS Information:

PECOS PAC ID: 1759559107
Enrollment ID: I20110729000405

Medical Identifiers

Medical identifiers for Kimberly Dawn Pettinelli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659664852	NPI	-	NPPES
1659664852	Medicaid	MN
500006831	Other	MN	MN MEDICARE NUMBER PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	129504-7 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Medical Center-mesabi/ Mesaba Clinics	Hibbing, MN	Hospital
St Lukes Hospital	Duluth, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Range Regional Health Services	8022920024	130

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. Kimberly Dawn Pettinelli allows following entities to bill medicare on her behalf.

Entity Name	Range Regional Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669569265 PECOS PAC ID: 8022920024 Enrollment ID: O20031110000095

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. Kimberly Dawn Pettinelli 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
Kimberly Dawn Pettinelli, NP 3605 Mayfair Ave, Hibbing, MN 55746-2935 Ph: (218) 262-3441	Kimberly Dawn Pettinelli, NP 3605 Mayfair Ave, Hibbing, MN 55746-2935 Ph: (218) 262-3441

Reviews and Comments

Nurse Practitioner Nurses in Hibbing, MN

Nicole Marie Stone, APRN, DNP, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 750 E 34th St, Hibbing, MN 55746 Phone: 218-262-4881
Janean Marie Mccue, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3605 Mayfair Ave, Fairview Mesaba Clinic, Hibbing, MN 55746 Phone: 218-262-3441 Fax: 218-362-6907
Mrs. Amanda Christine Perkovich, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 750 E 34th St, Hibbing, MN 55746 Phone: 218-966-4242
Kathy Busick, APRN, CNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 750 E 34th St, Hibbing, MN 55746 Phone: 218-362-6753 Fax: 218-213-9055
Karen Webster, DNP, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 522 E Howard St Ste 85, Hibbing, MN 55746 Phone: 218-440-1910 Fax: 218-440-1909
Christine Lynn Dworzynski, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1120 E 34th St, Hibbing, MN 55746 Phone: 218-362-7100 Fax: 218-362-7131
Anne Marie Flaim, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3605 Mayfair Ave, Hibbing, MN 55746 Phone: 218-262-3441 Fax: 218-362-6989

Kimberly Dawn Pettinelli, NP - Medicare Nurse Practitioner in Hibbing, MN