Kelly Korene White, CNP - Medicare Nurse Practitioner in Zimmerman, MN

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Kelly Korene White, CNP is a medicare enrolled "Nurse Practitioner - Family" in Zimmerman, Minnesota. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fairview Clinics and her current practice location is 25945 Gateway Dr, Zimmerman, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 856-6900.

Kelly Korene White is licensed to practice in Minnesota (license number CNP 2080) 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 1417293572.

Contact Information

Kelly Korene White, CNP
25945 Gateway Dr,
Zimmerman, MN 55398-5300
(763) 856-6900
Not Available

Map and Direction




Provider's Profile

Full NameKelly Korene White
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location25945 Gateway Dr, Zimmerman, 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:
  • Kelly Korene White graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1417293572
  • Provider Enumeration Date: 12/18/2012
  • Last Update Date: 06/04/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 7810139581
  • Enrollment ID: I20130808000272

Medical Identifiers

Medical identifiers for Kelly Korene White such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417293572NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse R 147784-9 (Minnesota)Secondary
363LF0000XNurse Practitioner - Family CNP 2080 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fairview Northland Regional HospitalPrinceton, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairview Clinics7113830142658

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 Korene White allows following entities to bill medicare on her behalf.
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameFairview Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346432218
PECOS PAC ID: 7113830142
Enrollment ID: O20031106000516
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548

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 Korene White 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 Korene White, CNP
25945 Gateway Dr,
Zimmerman, MN 55398-5300

Ph: (763) 856-6900		Kelly Korene White, CNP
25945 Gateway Dr,
Zimmerman, MN 55398-5300

Ph: (763) 856-6900

Reviews and Comments


Nurse Practitioner Nurses in Zimmerman, MN

Emily Marie Luitjens, MS, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 25945 Gateway Dr, Zimmerman, MN 55398
Phone: 763-856-6900    
Kathryn Thompson,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 13139 Lake Place Rd, Zimmerman, MN 55398
Phone: 701-260-5358    Fax: 763-856-2773
Wendy Sabinske,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 25082 117th St Nw, Zimmerman, MN 55398
Phone: 763-218-8188    

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.