Katelin Super, APRN CNP in Minnetonka, MN - Medicare Nurse Practitioner

Katelin Super, APRN CNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Minnetonka, Minnesota. She graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lifespark Medical Group Pa and her current practice location is 401 Carlson Pkwy, Minnetonka, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 992-3581.

Katelin Super is licensed to practice in Minnesota (license number PENDING) 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 1386168631.

Contact Information

	Katelin Super, APRN CNP
	401 Carlson Pkwy, Minnetonka, MN 55305-5359
	(952) 992-3581
	Not Available

Map and Direction

Provider's Profile

Full Name	Katelin Super
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	401 Carlson Pkwy, Minnetonka, Minnesota
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:

Katelin Super graduated from nursing school in 2017

NPI Data:

NPI Number: 1386168631
Provider Enumeration Date: 07/28/2017
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 5395019335
Enrollment ID: I20170914002515

Medical Identifiers

Medical identifiers for Katelin Super such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386168631	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	PENDING (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lifespark Medical Group Pa	4385908201	20

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. Katelin Super allows following entities to bill medicare on her behalf.

Entity Name	Lifespark Medical Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427551746 PECOS PAC ID: 4385908201 Enrollment ID: O20180501001022

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. Katelin Super 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
Katelin Super, APRN CNP 5320 W 23rd St, Ste 130, Minneapolis, MN 55416-1670 Ph: (952) 345-3213	Katelin Super, APRN CNP 401 Carlson Pkwy, Minnetonka, MN 55305-5359 Ph: (952) 992-3581

Reviews and Comments

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Katelin Super, APRN CNP - Medicare Nurse Practitioner in Minnetonka, MN