Kristen M Kelly, CRNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in University Park, Pennsylvania. Her current practice location is
314 Moore Building, University Park, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(814) 865-2191.
Kristen M Kelly is licensed to practice in Pennsylvania (license number SP009083) 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 1306855333.
Healthcare Provider's Profile
Full Name | Kristen M Kelly |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 314 Moore Building, University Park, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1306855333
- Provider Enumeration Date: 08/07/2006
- Last Update Date: 01/08/2019
Medicare PECOS Information:
- PECOS PAC ID: 3971583600
- Enrollment ID: I20101203001070
Medical Identifiers
Medical identifiers for Kristen M Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306855333 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | RN559476 (Pennsylvania) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | SP009083 (Pennsylvania) | 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. Kristen M Kelly allows following entities to bill medicare on her behalf.
Entity Name | The Pennsylvania State University |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1386784593 PECOS PAC ID: 8426002908 Enrollment ID: O20050308000633 |
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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. Kristen M 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 |
Kristen M Kelly, CRNP 314 Moore Building, University Park, PA 16802 Ph: (814) 865-2191 | Kristen M Kelly, CRNP 314 Moore Building, University Park, PA 16802 Ph: (814) 865-2191 |
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