Rebecca Ann Kiecker, NP-C in Fargo, ND - Medicare Nurse Practitioner

Rebecca Ann Kiecker, NP-C is a medicare enrolled "Nurse Practitioner" in Fargo, North Dakota. Her current practice location is 1720 South University Drive, Sanford South University, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 234-2000.

Rebecca Ann Kiecker is licensed to practice in North Dakota (license number R29811) 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 1043599277.

Contact Information

	Rebecca Ann Kiecker, NP-C
	1720 South University Drive, Sanford South University, Fargo, ND 58103
	(701) 234-2000
	(605) 622-2745

Map and Direction

Provider's Profile

Full Name	Rebecca Ann Kiecker
Gender	Female
Speciality	Nurse Practitioner
Location	1720 South University Drive, Fargo, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043599277
Provider Enumeration Date: 08/05/2011
Last Update Date: 09/16/2020

Medicare PECOS Information:

PECOS PAC ID: 2466623673
Enrollment ID: I20140414000436

Medical Identifiers

Medical identifiers for Rebecca Ann Kiecker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043599277	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	CP000658 (South Dakota)	Secondary
363L00000X	Nurse Practitioner	R29811 (North Dakota)	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. Rebecca Ann Kiecker allows following entities to bill medicare on her behalf.

Entity Name	St. Joseph's Hospital And Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730464108 PECOS PAC ID: 0547177560 Enrollment ID: O20031107000651

Entity Name	Sanford Clinic North
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942241351 PECOS PAC ID: 4284546151 Enrollment ID: O20031112000221

Entity Name	Sanford Medical Center Fargo
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495

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. Rebecca Ann Kiecker 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
Rebecca Ann Kiecker, NP-C Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-6585	Rebecca Ann Kiecker, NP-C 1720 South University Drive, Sanford South University, Fargo, ND 58103 Ph: (701) 234-2000

Reviews and Comments

Nurse Practitioner Nurses in Fargo, ND

Wendy M Moore, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 901 28th St S, Fargo, ND 58103 Phone: 701-404-1100 Fax: 701-540-6498
Mrs. Kayla L. Nelson, DNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Np Ave N, Fargo, ND 58102 Phone: 701-271-3344
Kyrie Marie Severson, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4622 40th Ave S, Suite A, Fargo, ND 58104 Phone: 701-364-2909 Fax: 701-364-9822
Jessica Smolen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 321 8th Ave N, Fargo, ND 58102 Phone: 701-234-2525
Mary Omer Habib, APRN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4622 40th Ave S Ste A, Fargo, ND 58104 Phone: 218-364-8900
Mr. Nicholas Henry Frederiksen, APRN,CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 Fax: 701-364-8078
Erin Marie Wilmes Reiniger, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4622 40th Ave S, Fargo, ND 58104 Phone: 701-364-8000 Fax: 701-364-3561

Rebecca Ann Kiecker, NP-C - Medicare Nurse Practitioner in Fargo, ND