Mrs Katrina Nicole Kelly, CNM is a medicare enrolled "Advanced Practice Midwife" in Roswell, New Mexico. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Roswell Clinic Corp and her current practice location is
350 W Country Club Rd Ste 203, Roswell, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(575) 624-4646.
Mrs Katrina Nicole Kelly is licensed to practice in New Mexico (license number 811) 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 1013674605.
Provider's Profile
Full Name | Mrs Katrina Nicole Kelly |
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Gender | Female |
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Speciality | Certified Nurse Midwife (cnm) |
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Experience | 3 Years |
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Location | 350 W Country Club Rd Ste 203, Roswell, New Mexico |
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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:
- Mrs Katrina Nicole Kelly graduated from nursing school in 2021
NPI Data:
- NPI Number: 1013674605
- Provider Enumeration Date: 11/18/2021
- Last Update Date: 03/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 1658765482
- Enrollment ID: I20220222000117
Medical Identifiers
Medical identifiers for Mrs Katrina Nicole Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013674605 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367A00000X | Advanced Practice Midwife | 811 (New Mexico) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Roswell Clinic Corp | 9436062759 | 28 |
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. Mrs Katrina Nicole Kelly allows following entities to bill medicare on her behalf.
Entity Name | Roswell Clinic Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649267618 PECOS PAC ID: 9436062759 Enrollment ID: O20031111000799 |
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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. Mrs Katrina Nicole Kelly 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 |
Mrs Katrina Nicole Kelly, CNM 350 W Country Club Rd Ste 203, Roswell, NM 88201-5221 Ph: (575) 624-4646 | Mrs Katrina Nicole Kelly, CNM 350 W Country Club Rd Ste 203, Roswell, NM 88201-5221 Ph: (575) 624-4646 |
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