Jesse Koller, CNP - Medicare Nurse Practitioner in Hibbing, MN

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Jesse Koller, CNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Hibbing, Minnesota. His current practice location is 750 E 34th St, Hibbing, Minnesota. You can reach out to his office (for appointments etc.) via phone at (262) 488-1218.

Jesse Koller is licensed to practice in Minnesota (license number 10157) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1548958044.

Contact Information

Jesse Koller, CNP
750 E 34th St,
Hibbing, MN 55746-2341
(262) 488-1218
Not Available

Map and Direction




Provider's Profile

Full NameJesse Koller
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location750 E 34th St, Hibbing, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548958044
  • Provider Enumeration Date: 04/24/2023
  • Last Update Date: 04/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2961869532
  • Enrollment ID: I20230613002295

Medical Identifiers

Medical identifiers for Jesse Koller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548958044NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 10157 (Minnesota)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 10157 (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. Jesse Koller allows following entities to bill medicare on his behalf.
Entity NameRange Regional Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669569265
PECOS PAC ID: 8022920024
Enrollment ID: O20031110000095

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. Jesse Koller 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
Jesse Koller, CNP
750 E 34th St,
Hibbing, MN 55746-2341

Ph: () -		Jesse Koller, CNP
750 E 34th St,
Hibbing, MN 55746-2341

Ph: (262) 488-1218

Reviews and Comments


Nurse Practitioner Nurses in Hibbing, MN

Nicole Marie Stone, APRN, DNP, PMHNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 750 E 34th St, Hibbing, MN 55746
Phone: 218-262-4881    
Janean Marie Mccue, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3605 Mayfair Ave, Fairview Mesaba Clinic, Hibbing, MN 55746
Phone: 218-262-3441    Fax: 218-362-6907
Mrs. Amanda Christine Perkovich, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 750 E 34th St, Hibbing, MN 55746
Phone: 218-966-4242    
Kathy Busick, APRN, CNP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 750 E 34th St, Hibbing, MN 55746
Phone: 218-362-6753    Fax: 218-213-9055
Christine Lynn Dworzynski,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1120 E 34th St, Hibbing, MN 55746
Phone: 218-362-7100    Fax: 218-362-7131
Anne Marie Flaim, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3605 Mayfair Ave, Hibbing, MN 55746
Phone: 218-262-3441    Fax: 218-362-6989
Lindsey Rebecca Anderson,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 750 E 34th St, Hibbing, MN 55746
Phone: 218-262-4881    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.