Suzanne Kelly, CNP is a medicare enrolled "Nurse Practitioner - Family" in Cold Spring, Minnesota. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Novacare Outpatient Rehabilitation East Inc, Christopher J Wenner Md Pa and her current practice location is
218 Main St, Cold Spring, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(320) 685-3020.
Suzanne Kelly is licensed to practice in Minnesota (license number R 147009-5) 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 1811300742.
Provider's Profile
| Full Name | Suzanne Kelly |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 10 Years |
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| Location | 218 Main St, Cold Spring, Minnesota |
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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. |
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Medical Education and Training:
- Suzanne Kelly graduated from nursing school in 2014
NPI Data:
- NPI Number: 1811300742
- Provider Enumeration Date: 06/09/2014
- Last Update Date: 06/16/2014
Medicare PECOS Information:
- PECOS PAC ID: 7315161916
- Enrollment ID: I20140623001668
Medical Identifiers
Medical identifiers for Suzanne Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1811300742 | NPI | - | NPPES |
| R 147009-5 | Other | MN | NURSING LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | R 147009-5 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Novacare Outpatient Rehabilitation East Inc | 3678480290 | 666 |
| Christopher J Wenner Md Pa | 4688723521 | 2 |
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. Suzanne Kelly allows following entities to bill medicare on her behalf.
| Entity Name | Centracare Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043212665
PECOS PAC ID: 2466363395
Enrollment ID: O20031105000293 |
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| Entity Name | Christopher J Wenner Md Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174762330
PECOS PAC ID: 4688723521
Enrollment ID: O20090522000335 |
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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. Suzanne 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 |
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Suzanne Kelly, CNP
218 Main St,
Cold Spring, MN 56320-2533
Ph: (320) 685-3020 | Suzanne Kelly, CNP
218 Main St,
Cold Spring, MN 56320-2533
Ph: (320) 685-3020 |
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