Kellie Ann Prentice, FNP - BC - Medicare Nurse Practitioner in Willmar, MN

Kellie Ann Prentice, FNP - BC is a medicare enrolled "Nurse Practitioner - Family" in Willmar, 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 Centracare Clinic Southwest Llc and her current practice location is 101 Willmar Ave Sw, Willmar, Minnesota. You can reach out to her office (for appointments etc.) via phone at (320) 231-5000.

Kellie Ann Prentice is licensed to practice in Minnesota (license number R132677-0) 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 1245635820.

Contact Information

Kellie Ann Prentice, FNP - BC
101 Willmar Ave Sw,
Willmar, MN 56201-3556
(320) 231-5000
Not Available



Provider's Profile

Full NameKellie Ann Prentice
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location101 Willmar Ave Sw, Willmar, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kellie Ann Prentice graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1245635820
  • Provider Enumeration Date: 10/25/2014
  • Last Update Date: 03/30/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1355663659
  • Enrollment ID: I20141121001801

Medical Identifiers

Medical identifiers for Kellie Ann Prentice such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245635820NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R132677-0 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Meeker Memorial HospitalLitchfield, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Centracare Clinic Southwest Llc8426457946141

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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. Kellie Ann Prentice allows following entities to bill medicare on her behalf.
Entity NameCarris Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598236408
PECOS PAC ID: 7012274228
Enrollment ID: O20190503001162

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Entity NameCentracare Clinic Southwest Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174106264
PECOS PAC ID: 8426457946
Enrollment ID: O20210602002802

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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. Kellie Ann Prentice 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
Kellie Ann Prentice, FNP - BC
101 Willmar Ave Sw,
Willmar, MN 56201-3556

Ph: () -
Kellie Ann Prentice, FNP - BC
101 Willmar Ave Sw,
Willmar, MN 56201-3556

Ph: (320) 231-5000

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Nurse Practitioner Nurses in Willmar, MN

Lucy R Brink, RN CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1804 Trott Ave Sw, Willmar, MN 56201
Phone: 320-214-7286    Fax: 320-214-7223
Jolene Schlegel, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 502 2nd St Sw Ste 1, Willmar, MN 56201
Phone: 320-235-7232    Fax: 320-231-8602
Janaya Jean Marie Evenson, RN, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 301 Becker Ave Sw, Willmar, MN 56201
Phone: 320-231-4399    
Kristin Michelle Pomplun, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 515 19th Ave Sw, Willmar, MN 56201
Phone: 320-235-2720    
Jeffery Ja Enstad, RN CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 101 Willmar Ave Sw, Willmar, MN 56201
Phone: 320-231-5000    Fax: 320-231-5067
Ms. Daniele J Welvaert, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1037 19th Ave Sw, Willmar, MN 56201
Phone: 320-214-1100    Fax: 320-214-1155
Mary Jane Young, RN CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 101 Willmar Ave Sw, Willmar, MN 56201
Phone: 320-231-5079    Fax: 320-231-5067

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