Krista Jelle, NP in Madison, WI - Medicare Nurse Practitioner

Krista Jelle, NP is a medicare enrolled "Nurse Practitioner - Neonatal, Critical Care" in Madison, Wisconsin. Her current practice location is 3864 Maple Grove Dr Apt 103, Madison, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 206-0524.

Krista Jelle is licensed to practice in Wisconsin (license number 163769) 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 1912559451.

Contact Information

	Krista Jelle, NP
	3864 Maple Grove Dr Apt 103, Madison, WI 53719-1824
	(608) 206-0524
	Not Available

Map and Direction

Provider's Profile

Full Name	Krista Jelle
Gender	Female
Speciality	Nurse Practitioner - Neonatal, Critical Care
Location	3864 Maple Grove Dr Apt 103, Madison, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912559451
Provider Enumeration Date: 07/15/2019
Last Update Date: 05/26/2021

Medicare PECOS Information:

PECOS PAC ID: 9739418427
Enrollment ID: I20190905000892

Medical Identifiers

Medical identifiers for Krista Jelle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912559451	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LN0005X	Nurse Practitioner - Neonatal, Critical Care	163769 (Wisconsin)	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. Krista Jelle allows following entities to bill medicare on her behalf.

Entity Name	Ascension Medical Group-southeast Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421

Entity Name	Columbia St Marys Hospital Milwaukee Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023064482 PECOS PAC ID: 5890604722 Enrollment ID: O20031105000057

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. Krista Jelle 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
Krista Jelle, NP 13111 N Port Washington Rd, Mequon, WI 53097-2416 Ph: (262) 243-7408	Krista Jelle, NP 3864 Maple Grove Dr Apt 103, Madison, WI 53719-1824 Ph: (608) 206-0524

Reviews and Comments

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Krista Jelle, NP - Medicare Nurse Practitioner in Madison, WI