Kristen Mccullough, CNM - Medicare Advanced Practice Midwife in Minneapolis, MN

Kristen Mccullough, CNM is a medicare enrolled "Advanced Practice Midwife" in Minneapolis, Minnesota. Her current practice location is 606 24th Ave S, Suite 700, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 672-2450.

Kristen Mccullough is licensed to practice in Minnesota (license number R0975355) 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 1396711313.

Contact Information

Kristen Mccullough, CNM
606 24th Ave S, Suite 700,
Minneapolis, MN 55454-1455
(612) 672-2450
Not Available



Provider's Profile

Full NameKristen Mccullough
GenderFemale
SpecialityAdvanced Practice Midwife
Location606 24th Ave S, Minneapolis, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396711313
  • Provider Enumeration Date: 02/28/2006
  • Last Update Date: 04/12/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 1456397496
  • Enrollment ID: I20050630000149

Medical Identifiers

Medical identifiers for Kristen Mccullough such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396711313NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife R0975355 (Minnesota)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 Mccullough allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Minnesota Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477598118
PECOS PAC ID: 9830001189
Enrollment ID: O20031104000532

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Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548

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Entity NameUniversity Of Minnesota Health Clinics And Surgery Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053795187
PECOS PAC ID: 9133423304
Enrollment ID: O20160209000524

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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 Mccullough 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
Kristen Mccullough, CNM
606 24th Ave S, Suite 700,
Minneapolis, MN 55454-1455

Ph: (612) 672-2450
Kristen Mccullough, CNM
606 24th Ave S, Suite 700,
Minneapolis, MN 55454-1455

Ph: (612) 672-2450

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› Verified 9 days ago


Advanced Practice Midwife Nurses in Minneapolis, MN

Claire C Nelson, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 701 Park Ave, Minneapolis, MN 55415
Phone: 612-873-2203    Fax: 612-904-4273
Pamela S.f. Glenn,
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 1200 Lagoon Ave, Minneapolis, MN 55408
Phone: 612-823-6300    
Susanna Goldstein,
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 3033 Excelsior Blvd, Minneapolis, MN 55416
Phone: 612-345-5920    
Heather Christopher, APRN, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 2606 Chicago Ave, Minneapolis, MN 55407
Phone: 612-545-5311    
Olivia Lynn Fricke, CNM, APRN
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 1919 Nicollet Ave, Minneapolis, MN 55403
Phone: 719-580-9134    Fax: 612-236-4745
Julia M Cross, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 701 Park Ave, Minneapolis, MN 55415
Phone: 612-873-2203    Fax: 612-904-4273
Nancy L Schamber, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 701 Park Ave, Minneapolis, MN 55415
Phone: 612-873-2203    Fax: 612-904-4273

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