Kelly Mae Chandler, PMHNP in St Paul, MN - Medicare Nurse Practitioner

Kelly Mae Chandler, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in St Paul, Minnesota. Her current practice location is 280 Smith Ave N, Ste 450, St Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 241-5959.

Kelly Mae Chandler is licensed to practice in Minnesota (license number 3380) 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 1215240346.

Contact Information

	Kelly Mae Chandler, PMHNP
	280 Smith Ave N, Ste 450, St Paul, MN 55102-2481
	(651) 241-5959
	(651) 241-5958

Map and Direction

Provider's Profile

Full Name	Kelly Mae Chandler
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	280 Smith Ave N, St Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215240346
Provider Enumeration Date: 07/18/2010
Last Update Date: 07/27/2023

Medicare PECOS Information:

PECOS PAC ID: 9436512597
Enrollment ID: I20230823001524

Medical Identifiers

Medical identifiers for Kelly Mae Chandler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215240346	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R137492-6 (Minnesota)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	3380 (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. Kelly Mae Chandler allows following entities to bill medicare on her behalf.

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460

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 Mae Chandler 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 Address	Practice Location Address
Kelly Mae Chandler, PMHNP 2925 Chicago Avenue, Minneapolis, MN 55407-1321 Ph: (612) 262-5000	Kelly Mae Chandler, PMHNP 280 Smith Ave N, Ste 450, St Paul, MN 55102-2481 Ph: (651) 241-5959

Reviews and Comments

Nurse Practitioner Nurses in St Paul, MN

Nancy Entgelmeier, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 347 N Smith Ave, Childrens Specialty Clinic Feeding Clinic Stpl Mpls, St Paul, MN 55102 Phone: 651-220-6446
Judy L Peterson, CNNP CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 347 North Smith Ave, Childrens Specialty Clinic Nicu, St Paul, MN 55102 Phone: 651-220-6210 Fax: 651-220-7777
Rebekah A Forrest, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 347 North Smith Avenue, 401 Midwest Childrens Resource Center, St Paul, MN 55102 Phone: 651-220-6750 Fax: 651-220-6770
Karla Lynn Hurtley, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Children's Health Care, 345 North Smith Ave, St Paul, MN 55102 Phone: 651-220-6750
Monica M Overkamp, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Healthpartners Specialty Center 401, 401 Phalen Blvd-mail Stop 41103b, St Paul, MN 55130 Phone: 651-254-7820 Fax: 651-254-7827
Ms. Kathleen Marie Booth, RNC, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2115 Summit Ave, Student Health Services # 5056, St Paul, MN 55105 Phone: 651-962-6750 Fax: 651-962-6751
Shelly A Hansen, CNNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 347 North Smith Ave, Childrens Specialty Clinic Nicu, St Paul, MN 55102 Phone: 651-220-6210 Fax: 651-220-7777

Kelly Mae Chandler, PMHNP - Medicare Nurse Practitioner in St Paul, MN