Kelly Nesdahl, APRN - Medicare Nurse Practitioner in Anadarko, OK

Kelly Nesdahl, APRN is a medicare enrolled "Nurse Practitioner - Family" in Anadarko, Oklahoma. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Tulsa Emergency Medical Center Inc, Medical Resource Management Llc and her current practice location is 1503 S Mission St Ste A, Anadarko, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 247-1100.

Kelly Nesdahl is licensed to practice in Oklahoma (license number 112029) 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 1336760081.

Contact Information

Kelly Nesdahl, APRN
1503 S Mission St Ste A,
Anadarko, OK 73005-5815
(405) 247-1100
Not Available



Provider's Profile

Full NameKelly Nesdahl
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location1503 S Mission St Ste A, Anadarko, Oklahoma
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:
  • Kelly Nesdahl graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1336760081
  • Provider Enumeration Date: 05/05/2020
  • Last Update Date: 05/05/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2668878281
  • Enrollment ID: I20210908000538

Medical Identifiers

Medical identifiers for Kelly Nesdahl such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336760081NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 112029 (Oklahoma)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tulsa Emergency Medical Center Inc337544269249
Medical Resource Management Llc408275391867

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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. Kelly Nesdahl allows following entities to bill medicare on her behalf.
Entity NameTulsa Emergency Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063479087
PECOS PAC ID: 3375442692
Enrollment ID: O20040106000606

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Entity NameMedical Resource Management Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104056365
PECOS PAC ID: 4082753918
Enrollment ID: O20100830000840

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Entity NameHealthcare Stat Of Anadarko Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811359607
PECOS PAC ID: 5799074407
Enrollment ID: O20160519001701

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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. Kelly Nesdahl 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
Kelly Nesdahl, APRN
1216 Sw 158th St,
Oklahoma City, OK 73170-3516

Ph: (405) 541-0665
Kelly Nesdahl, APRN
1503 S Mission St Ste A,
Anadarko, OK 73005-5815

Ph: (405) 247-1100

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Nurse Practitioner Nurses in Anadarko, OK

Miss Andrea Hayes, APRN-CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 412 Se 11th Street, Anadarko, OK 73005
Phone: 405-247-9500    Fax: 405-247-9505
Frank Molina, ADVANCED NURSE PRACT
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 115 N.e. Oldtown Drive, Anadarko, OK 73005
Phone: 405-247-2458    Fax: 405-247-6657
Wendy Marie Brown, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1002 E Central Blvd, Anadarko, OK 73005
Phone: 405-247-2551    
Randee Green, APRN-CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1503 S Mission St, Anadarko, OK 73005
Phone: 405-247-1100    
Amy Lynne Glasgow, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 201 E Parker Mckenzie Dr, Anadarko, OK 73005
Phone: 405-247-7900    
Mrs. Tonya Kay Jones, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1503 S Mission St # A, Anadarko, OK 73005
Phone: 405-247-1100    Fax: 405-247-1155

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