Christina Jacklyn Kirchen, CNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Chisholm, Minnesota. She graduated from nursing school in 2022 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northern Tranquility Mental Health Services and her current practice location is
118 W Lake St, Chisholm, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 343-0515.
Christina Jacklyn Kirchen is licensed to practice in Minnesota (license number 9380) 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 1134865561.
Provider's Profile
| Full Name | Christina Jacklyn Kirchen |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 118 W Lake St, Chisholm, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Christina Jacklyn Kirchen graduated from nursing school in 2022
NPI Data:
- NPI Number: 1134865561
- Provider Enumeration Date: 05/09/2022
- Last Update Date: 08/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 2860876729
- Enrollment ID: I20220826002078
Medical Identifiers
Medical identifiers for Christina Jacklyn Kirchen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134865561 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 2295279 (Minnesota) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 229527 (Minnesota) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 9380 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Northern Tranquility Mental Health Services | 4981009479 | 4 |
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. Christina Jacklyn Kirchen allows following entities to bill medicare on her behalf.
| Entity Name | Northern Tranquility Mental Health Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700469640
PECOS PAC ID: 4981009479
Enrollment ID: O20210820003039 |
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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. Christina Jacklyn Kirchen 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 |
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Christina Jacklyn Kirchen, CNP
118 W Lake St,
Chisholm, MN 55719-1819
Ph: (218) 254-0101 | Christina Jacklyn Kirchen, CNP
118 W Lake St,
Chisholm, MN 55719-1819
Ph: (218) 343-0515 |
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