Samantha Kelly, FNP-C - Medicare Nurse Practitioner in Pueblo, CO

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Samantha Kelly, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Pueblo, Colorado. Her current practice location is 4036 Ridge Dr, Pueblo, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 251-1594.

Samantha Kelly is licensed to practice in Colorado (license number APN.0995461-NP) 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 1518488634.

Contact Information

Samantha Kelly, FNP-C
4036 Ridge Dr,
Pueblo, CO 81008-1720
(719) 251-1594
(514) 236-8737

Map and Direction




Provider's Profile

Full NameSamantha Kelly
GenderFemale
SpecialityNurse Practitioner - Family
Location4036 Ridge Dr, Pueblo, Colorado
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518488634
  • Provider Enumeration Date: 06/28/2017
  • Last Update Date: 06/20/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3971874181
  • Enrollment ID: I20170807002420

Medical Identifiers

Medical identifiers for Samantha Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518488634NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95006818 (California)Secondary
363LF0000XNurse Practitioner - Family APN.0995461-NP (Colorado)Primary
163W00000XRegistered Nurse 95034970 (California)Secondary

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. Samantha Kelly allows following entities to bill medicare on her behalf.
Entity NameAll Inclusive Medical Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518369891
PECOS PAC ID: 3274855879
Enrollment ID: O20141210001887

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. Samantha 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 AddressPractice Location Address
Samantha Kelly, FNP-C
4036 Ridge Dr,
Pueblo, CO 81008-1720

Ph: (719) 251-1594		Samantha Kelly, FNP-C
4036 Ridge Dr,
Pueblo, CO 81008-1720

Ph: (719) 251-1594

Reviews and Comments


Nurse Practitioner Nurses in Pueblo, CO

Paula Jiron-finn, ACNP/FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 115 E Riverwalk Unit 200, Pueblo, CO 81003
Phone: 719-543-8346    Fax: 719-545-1829
Brian C White, APRN, PMHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 226 1/2 S Union Ave Unit 205, Pueblo, CO 81003
Phone: 719-225-0637    
Monica A Flynn, APRN-NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 41 Montebello Rd, Pueblo, CO 81001
Phone: 719-545-2746    Fax: 719-584-0110
Coral Breanne Martinez,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1600 N Grand Ave Ste 150, Pueblo, CO 81003
Phone: 719-595-7680    
Alexandria Brook Davis-mitchell, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 41 Montebello Rd Ste 116, Pueblo, CO 81001
Phone: 719-423-1500    
Lynne M Evetts, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 300 Colorado Ave, Pueblo, CO 81004
Phone: 719-543-8711    Fax: 719-543-5340
Phebe Golden, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3670 Parker Blvd Ste 101, Pueblo, CO 81008
Phone: 719-562-2900    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.