Mr Kelly D Pruett, APN in Bemidji, MN - Medicare Nurse Practitioner

Mr Kelly D Pruett, APN is a medicare enrolled "Nurse Practitioner" in Bemidji, Minnesota. He graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Sanford Health Of Northern Minnesota and his current practice location is 1300 Anne St Nw, Bemidji, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 751-9746.

Mr Kelly D Pruett is licensed to practice in Minnesota (license number 7888) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1336217900.

Contact Information

	Mr Kelly D Pruett, APN
	1300 Anne St Nw, Bemidji, MN 56601-5103
	(218) 751-9746
	(605) 328-6512

Map and Direction

Provider's Profile

Full Name	Mr Kelly D Pruett
Gender	Male
Speciality	Nurse Practitioner
Experience	13 Years
Location	1300 Anne St Nw, Bemidji, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Kelly D Pruett graduated from nursing school in 2011

NPI Data:

NPI Number: 1336217900
Provider Enumeration Date: 12/01/2006
Last Update Date: 01/22/2021

Medicare PECOS Information:

PECOS PAC ID: 4385817691
Enrollment ID: I20210204000116

Medical Identifiers

Medical identifiers for Mr Kelly D Pruett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336217900	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	7888 (Minnesota)	Primary
363L00000X	Nurse Practitioner	A003595 (Arkansas)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sanford Bemidji Medical Center	Bemidji, MN	Hospital
Sanford Bagley Medical Center	Bagley, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sanford Health Of Northern Minnesota	5597725168	284

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. Mr Kelly D Pruett allows following entities to bill medicare on his behalf.

Entity Name	Sanford Health Of Northern Minnesota
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770849697 PECOS PAC ID: 5597725168 Enrollment ID: O20041025000442

Entity Name	Sanford Health Of Northern Minnesota
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265829881 PECOS PAC ID: 5597725168 Enrollment ID: O20150602000945

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. Mr Kelly D Pruett 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
Mr Kelly D Pruett, APN Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () -	Mr Kelly D Pruett, APN 1300 Anne St Nw, Bemidji, MN 56601-5103 Ph: (218) 751-9746

Reviews and Comments

Nurse Practitioner Nurses in Bemidji, MN

Brenda K Amundson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1500 Birchmont Dr Ne # 42, Bemidji, MN 56601 Phone: 218-755-2053 Fax: 218-755-2750
Miss Kayla N Kaiser, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1233 34th St Nw, Bemidji, MN 56601 Phone: 218-333-5000
Dr. Tami Dawn Lindell, DNP, FNP, GNP, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 1st St W Ste 204-205, Bemidji, MN 56601 Phone: 218-670-5239 Fax: 218-888-8033
Angela Jean Splettstoeszer, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1233 34th St Nw, Bemidji, MN 56601 Phone: 218-333-5285
Julie Beevor, CNP, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1002 Washington Ave S, Bemidji, MN 56601 Phone: 218-444-8090 Fax: 218-333-9434
Hillary Renae Porter, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1300 Anne St Nw, Bemidji, MN 56601 Phone: 218-751-5430
Ms. Gwen Marie Verchota, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1500 Birchmont Dr. Ne, Bemidji State University, Student Center For Health, Bemidji, MN 56601 Phone: 218-755-2053

Mr Kelly D Pruett, APN - Medicare Nurse Practitioner in Bemidji, MN