Karly Jo Kennelly, - Nurse Practitioner in Rolla, ND

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Karly Jo Kennelly, is a Nurse Practitioner - Psychiatric/mental Health based in Rolla, North Dakota. Karly Jo Kennelly is licensed to practice in North Dakota (license number 205939) and her current practice location is 213 2nd Ave Ne, Rolla, North Dakota. She can be reached at her office (for appointments etc.) via phone at (701) 477-3161.

NPI number for Karly Jo Kennelly is 1093626269 and her current mailing address is Po Box 31, Saint Thomas, North Dakota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093626269.

Contact Information

Karly Jo Kennelly,
213 2nd Ave Ne,
Rolla, ND 58367-7153
(701) 477-3161
(701) 477-5564

Map and Direction




Provider's Profile

Full NameKarly Jo Kennelly
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location213 2nd Ave Ne, Rolla, North Dakota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1093626269
  • Provider Enumeration Date: 09/15/2026
  • Last Update Date: 09/15/2026

Medical Identifiers

Medical identifiers for Karly Jo Kennelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093626269NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 205939 (North Dakota)Primary

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. Karly Jo Kennelly is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Karly Jo Kennelly,
Po Box 31,
Saint Thomas, ND 58276-0031

Ph: (701) 520-9305		Karly Jo Kennelly,
213 2nd Ave Ne,
Rolla, ND 58367-7153

Ph: (701) 477-3161

Reviews and Comments


Nurse Practitioner Nurses in Rolla, ND

Benjamin Bucher, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 213 2nd Ave Ne, Rolla, ND 58367
Phone: 701-477-3161    Fax: 701-477-5564
Rachelle Long Fischer, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 213 2nd Ave Ne, Rolla, ND 58367
Phone: 701-477-3161    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.