Mrs Kelly Nicole Chisholm, CNP in Lambertville, MI

Mrs Kelly Nicole Chisholm, CNP is a medicare enrolled "Nurse Practitioner - Family" in Lambertville, Michigan. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mercy Health Physicians-north Llc and her current practice location is 7581 Secor Rd, Lambertville, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 856-6306.

Mrs Kelly Nicole Chisholm is licensed to practice in Ohio (license number APRN.CNP.14762) 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 1366870974.

Contact Information

	Mrs Kelly Nicole Chisholm, CNP
	7581 Secor Rd, Lambertville, MI 48144-9624
	(734) 856-6306
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kelly Nicole Chisholm
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	7581 Secor Rd, Lambertville, Michigan
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 Kelly Nicole Chisholm graduated from nursing school in 2013

NPI Data:

NPI Number: 1366870974
Provider Enumeration Date: 10/16/2013
Last Update Date: 10/11/2024

Medicare PECOS Information:

PECOS PAC ID: 6305060583
Enrollment ID: I20140609001423

Medical Identifiers

Medical identifiers for Mrs Kelly Nicole Chisholm such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366870974	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN.CNP.14762 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Great Lakes Caring	Jackson, MI	Home health agency
Mercy St Vincent Medical Center	Toledo, OH	Hospital
Promedica Toledo Hospital	Toledo, OH	Hospital
Promedica Monroe Regional Hospital	Monroe, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mercy Health Physicians-north Llc	2668522400	114

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 Kelly Nicole Chisholm allows following entities to bill medicare on her behalf.

Entity Name	Mercy Health Physicians-north Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609000769 PECOS PAC ID: 2668522400 Enrollment ID: O20090911000376

Entity Name	Mercy Health Physicians North Specialty Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306468418 PECOS PAC ID: 1951707884 Enrollment ID: O20210909001115

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 Kelly Nicole Chisholm 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 Kelly Nicole Chisholm, CNP 7581 Secor Rd, Lambertville, MI 48144-9624 Ph: (734) 856-6306	Mrs Kelly Nicole Chisholm, CNP 7581 Secor Rd, Lambertville, MI 48144-9624 Ph: (734) 856-6306

Reviews and Comments

Nurse Practitioner Nurses in Lambertville, MI

Kristen Leigh Minard, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7575 Secor Rd, Lambertville, MI 48144 Phone: 734-856-1800
Jodi M Gaglio, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7581 Secor Rd, Lambertville, MI 48144 Phone: 734-856-6360
Miss Samantha Louise Masongsong, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7575 Secor Rd, Lambertville, MI 48144 Phone: 734-856-1800
Ashley Wilhelm, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7301 Secor Rd, Lambertville, MI 48144 Phone: 419-479-5795 Fax: 419-479-5797
Matthew James Lazette, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7575 Secor Rd, Lambertville, MI 48144 Phone: 734-856-1800
Brenda S Schulty, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7575 Secor Rd, Lambertville, MI 48144 Phone: 734-856-1800
Taylor Burger, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8351 Waterford Dr, Lambertville, MI 48144 Phone: 734-497-6710

Mrs Kelly Nicole Chisholm, CNP - Medicare Nurse Practitioner in Lambertville, MI