Holly Roxanne Kinnell-rust, FNP in Putnam, CT

Holly Roxanne Kinnell-rust, FNP is a medicare enrolled "Nurse Practitioner - Family" in Putnam, Connecticut. She graduated from nursing school in 2001 and has 23 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Connecticut Gi Pc and her current practice location is 320 Pomfret St, Putnam, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 963-6371.

Holly Roxanne Kinnell-rust is licensed to practice in Connecticut (license number 7023) 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 1932287893.

Contact Information

	Holly Roxanne Kinnell-rust, FNP
	320 Pomfret St, Putnam, CT 06260-1836
	(860) 963-6371
	(860) 963-6413

Map and Direction

Provider's Profile

Full Name	Holly Roxanne Kinnell-rust
Gender	Female
Speciality	Nurse Practitioner
Experience	23 Years
Location	320 Pomfret St, Putnam, Connecticut
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:

Holly Roxanne Kinnell-rust graduated from nursing school in 2001

NPI Data:

NPI Number: 1932287893
Provider Enumeration Date: 11/01/2006
Last Update Date: 07/15/2019

Medicare PECOS Information:

PECOS PAC ID: 9133245137
Enrollment ID: I20170705002855

Medical Identifiers

Medical identifiers for Holly Roxanne Kinnell-rust such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932287893	NPI	-	NPPES
1932287893	Medicaid	MO
P00859525	Other		RAILROAD MEDICARE
008073029	Medicaid	CT
184085758	Medicaid	AR
431560263	Other		TRICARE WEST

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	191964 (Massachusetts)	Secondary
363LF0000X	Nurse Practitioner - Family	2010026851 (Missouri)	Secondary
363LF0000X	Nurse Practitioner - Family	7023 (Connecticut)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Day Kimball Hospital	Putnam, CT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Connecticut Gi Pc	9830110758	185

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 Roxanne Kinnell-rust allows following entities to bill medicare on her behalf.

Entity Name	Connecticut Gi Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023124625 PECOS PAC ID: 9830110758 Enrollment ID: O20070112000011

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 Roxanne Kinnell-rust 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 Roxanne Kinnell-rust, FNP 320 Pomfret St, Putnam, CT 06260-1836 Ph: (860) 963-6371	Holly Roxanne Kinnell-rust, FNP 320 Pomfret St, Putnam, CT 06260-1836 Ph: (860) 963-6371

Reviews and Comments

Nurse Practitioner Nurses in Putnam, CT

Sara Cathleen Nickle, DNP, FNP-C, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 330 Pomfret St, Putnam, CT 06260 Phone: 860-928-2736
Mrs. Jeanne Bedard, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 346 Pomfret St, Putnam, CT 06260 Phone: 860-928-0815 Fax: 860-928-4514
Kimberly J Lane, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 320 Pomfret St, Putnam, CT 06260 Phone: 860-928-6541 Fax: 860-963-6393
Marissa Lahaie, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 330 Pomfret St, Putnam, CT 06260 Phone: 860-928-2736
Mrs. Kerri Lynn Sauer, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 35 Kennedy Dr, Putnam, CT 06260 Phone: 860-963-2133
Ralph Frank Hirschfeld, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 202 Pomfret St, Putnam, CT 06260 Phone: 860-963-7917 Fax: 860-963-0015
Annette Jakubisin-konicki, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 320 Pomfret St, Putnam, CT 06260 Phone: 860-963-6390 Fax: 860-963-6343

Holly Roxanne Kinnell-rust, FNP - Medicare Nurse Practitioner in Putnam, CT