Catherine Grace Kelly, FNP in Fort Defiance, AZ

Catherine Grace Kelly, FNP is a medicare enrolled "Nurse Practitioner - Family" in Fort Defiance, Arizona. She graduated from nursing school in 2014 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice The Fort Defiance Indian Hospital Board, Incorporation and her current practice location is Corner Of Route N12 And N7, Fort Defiance, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 729-8600.

Catherine Grace Kelly is licensed to practice in Montana (license number NUR-APRN-LIC-100842) 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 1609280833.

Contact Information

	Catherine Grace Kelly, FNP
	Corner Of Route N12 And N7, Fort Defiance, AZ 86504
	(928) 729-8600
	Not Available

Map and Direction

Provider's Profile

Full Name	Catherine Grace Kelly
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	Corner Of Route N12 And N7, Fort Defiance, Arizona
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Catherine Grace Kelly graduated from nursing school in 2014

NPI Data:

NPI Number: 1609280833
Provider Enumeration Date: 06/16/2014
Last Update Date: 11/22/2019

Medicare PECOS Information:

PECOS PAC ID: 0941521124
Enrollment ID: I20151211000697

Medical Identifiers

Medical identifiers for Catherine Grace Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609280833	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	39646 (Montana)	Secondary
363LF0000X	Nurse Practitioner - Family	NUR-APRN-LIC-100842 (Montana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Fort Defiance Indian Hospital	Fort defiance, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Fort Defiance Indian Hospital Board, Incorporation	0941336697	104

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. Catherine Grace Kelly allows following entities to bill medicare on her behalf.

Entity Name	Us Health Dept Of Health & Human Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972694602 PECOS PAC ID: 9638081623 Enrollment ID: O20031106000399

Entity Name	The Fort Defiance Indian Hospital Board, Incorporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477876639 PECOS PAC ID: 0941336697 Enrollment ID: O20100429001153

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. Catherine Grace Kelly 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
Catherine Grace Kelly, FNP Po Box 3981, Fort Defiance, AZ 86504-3981 Ph: (406) 539-0521	Catherine Grace Kelly, FNP Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Ph: (928) 729-8600

Reviews and Comments

Nurse Practitioner Nurses in Fort Defiance, AZ

Rosemary Josephine Bolza, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Intersection Of Highways 7 And 12, Fort Defiance, AZ 86504 Phone: 928-729-8775
Jay S Guikema, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000
Connie M Ebach, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000
Mrs. Patricia Nadurak, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Corner Of N12 And N8, Fort Defiance, AZ 86504 Phone: 928-729-8000
Jamie S Adams, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Corner Routes N7 & N12, Fort Defiance, AZ 86504 Phone: 928-729-8000
Stacy-ann Shand, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000
Kathryn Barron, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8821

Catherine Grace Kelly, FNP - Medicare Nurse Practitioner in Fort Defiance, AZ