Holly Anne Mondloch, APRN, CNP in Saint Cloud, MN

Holly Anne Mondloch, APRN, CNP is a medicare enrolled "Nurse Practitioner - Neonatal" in Saint Cloud, Minnesota. Her current practice location is 1406 6th Ave N, Saint Cloud, Minnesota. You can reach out to her office (for appointments etc.) via phone at (320) 251-2700.

Holly Anne Mondloch is licensed to practice in Minnesota (license number 12100) 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 1417774415.

Contact Information

	Holly Anne Mondloch, APRN, CNP
	1406 6th Ave N, Saint Cloud, MN 56303-1900
	(320) 251-2700
	Not Available

Map and Direction

Provider's Profile

Full Name	Holly Anne Mondloch
Gender	Female
Speciality	Nurse Practitioner - Neonatal
Location	1406 6th Ave N, Saint Cloud, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417774415
Provider Enumeration Date: 09/23/2024
Last Update Date: 09/23/2024

Medicare PECOS Information:

PECOS PAC ID: 2567994809
Enrollment ID: I20241011001972

Medical Identifiers

Medical identifiers for Holly Anne Mondloch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417774415	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LN0000X	Nurse Practitioner - Neonatal	12100 (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. Holly Anne Mondloch allows following entities to bill medicare on her behalf.

Entity Name	Centracare Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293

Entity Name	Carris Health Llc
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1134632680 PECOS PAC ID: 7012274228 Enrollment ID: O20180111000831

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. Holly Anne Mondloch 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
Holly Anne Mondloch, APRN, CNP 4223 170th St, South Haven, MN 55382-9301 Ph: (320) 292-0699	Holly Anne Mondloch, APRN, CNP 1406 6th Ave N, Saint Cloud, MN 56303-1900 Ph: (320) 251-2700

Reviews and Comments

Nurse Practitioner Nurses in Saint Cloud, MN

Angela Dorothy Moscho, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-252-1670 Fax: 320-255-6378
Mandy Fay Krippner, APRN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-251-2700
Lindsey Beckman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1301 33rd St S, Saint Cloud, MN 56301 Phone: 701-373-1826
Kristen J Heffern, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1301 33rd St S, Saint Cloud, MN 56301 Phone: 320-251-8181 Fax: 320-257-1733
Naomi Maangi, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 524 25th Ave N, Saint Cloud, MN 56303 Phone: 320-202-1909
Jessica Hollenkamp, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-252-5131
Rebecca Kastanek, APRN, CNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1406 6th Ave N, Rehabilitation Services St.cloud Hospital, Saint Cloud, MN 56303 Phone: 320-255-5740 Fax: 320-656-7155

Holly Anne Mondloch, APRN, CNP - Medicare Nurse Practitioner in Saint Cloud, MN