Mr Patrick Ryan Kelly, MSN, APRN, PMHNP-BC in Red Lake, MN

Mr Patrick Ryan Kelly, MSN, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Red Lake, Minnesota. His current practice location is 24760 Hospital Drive, Red Lake, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 679-0396.

Mr Patrick Ryan Kelly is licensed to practice in Minnesota (license number 10241) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1881971919.

Contact Information

	Mr Patrick Ryan Kelly, MSN, APRN, PMHNP-BC
	24760 Hospital Drive, Red Lake, MN 56671
	(218) 679-0396
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Patrick Ryan Kelly
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	24760 Hospital Drive, Red Lake, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881971919
Provider Enumeration Date: 11/03/2011
Last Update Date: 07/14/2023

Medicare PECOS Information:

PECOS PAC ID: 7416310834
Enrollment ID: I20231207002977

Medical Identifiers

Medical identifiers for Mr Patrick Ryan Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881971919	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	1098752 (Texas)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	10241 (Minnesota)	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. Mr Patrick Ryan Kelly allows following entities to bill medicare on his behalf.

Entity Name	Phs Indian Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508809765 PECOS PAC ID: 4789598731 Enrollment ID: O20031114000287

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 Patrick Ryan 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
Mr Patrick Ryan Kelly, MSN, APRN, PMHNP-BC 911 Maple Ridge Ct Nw, Bemidji, MN 56601-8009 Ph: (605) 370-7669	Mr Patrick Ryan Kelly, MSN, APRN, PMHNP-BC 24760 Hospital Drive, Red Lake, MN 56671 Ph: (218) 679-0396

Reviews and Comments

Nurse Practitioner Nurses in Red Lake, MN

Ms. Tracy Brower, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Highway 1, Red Lake, MN 56671 Phone: 218-679-3912 Fax: 218-679-0135
Michelle Lynn Graves, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24760 Hospital Rd, Red Lake, MN 56671 Phone: 218-679-3912
Mr. Bruce James Chaffee, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Red Lake Hospital, 24760 Hospital Drive, Red Lake, MN 56671 Phone: 218-679-3912
Rachel Koch, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24760 Hospital Dr, Red Lake, MN 56671 Phone: 218-679-3912 Fax: 218-679-0181
Tricia Lynn Cowan, DNP, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24760 Hospital Dr, Red Lake, MN 56671 Phone: 218-679-0168 Fax: 218-679-3912
Kathleen Marmorine, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Highway 1, Box 497, Red Lake, MN 56671 Phone: 218-679-3912 Fax: 218-679-0181
Dr. Kari Lynn Josefson, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24760 Hospital Drive, Red Lake, MN 56671 Phone: 218-679-3912

Mr Patrick Ryan Kelly, MSN, APRN, PMHNP-BC - Medicare Nurse Practitioner in Red Lake, MN