Kelley Brooke Corl, NP-C in Prescott, AZ - Medicare Nurse Practitioner

Kelley Brooke Corl, NP-C is a medicare enrolled "Nurse Practitioner" in Prescott, Arizona. Her current practice location is 3623 Crossings Dr Ste 206, Prescott, Arizona. You can reach out to her office (for appointments etc.) via phone at (866) 849-0692.

Kelley Brooke Corl is licensed to practice in Arizona (license number RNP248594) 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 1699374371.

Contact Information

	Kelley Brooke Corl, NP-C
	3623 Crossings Dr Ste 206, Prescott, AZ 86305-7101
	(866) 849-0692
	(888) 973-8821

Map and Direction

Provider's Profile

Full Name	Kelley Brooke Corl
Gender	Female
Speciality	Nurse Practitioner
Location	3623 Crossings Dr Ste 206, Prescott, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699374371
Provider Enumeration Date: 10/22/2020
Last Update Date: 05/12/2025

Medicare PECOS Information:

PECOS PAC ID: 6608221064
Enrollment ID: I20231005000993

Medical Identifiers

Medical identifiers for Kelley Brooke Corl such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699374371	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	C-APN.0103359-C-NP (Colorado)	Secondary
363L00000X	Nurse Practitioner	RNP248594 (Arizona)	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. Kelley Brooke Corl allows following entities to bill medicare on her behalf.

Entity Name	Arizona Infusion Centers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184351298 PECOS PAC ID: 3577949544 Enrollment ID: O20220928001015

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. Kelley Brooke Corl 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
Kelley Brooke Corl, NP-C Po Box 211699, Eagan, MN 55121-3699 Ph: (866) 849-0692	Kelley Brooke Corl, NP-C 3623 Crossings Dr Ste 206, Prescott, AZ 86305-7101 Ph: (866) 849-0692

Reviews and Comments

Nurse Practitioner Nurses in Prescott, AZ

Alexandra Leigh Kleber, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3124 Willow Creek Rd, Prescott, AZ 86301 Phone: 928-371-4700
Nancy Concepcion Rosales, APRN, MSN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1050 Gail Gardner Way Ste 300, Prescott, AZ 86305 Phone: 928-717-5232 Fax: 928-717-5238
Keri Eggers-wilt, APRN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1003 Willow Creek Rd, Prescott, AZ 86301 Phone: 928-445-2700
Samareea Daquator Tesia Saunders, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 743 Miller Valley Rd, Prescott, AZ 86301 Phone: 928-777-9600 Fax: 855-449-5560
Mr. Donald Lee Pierce, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1812 N Pearl Ln, Prescott, AZ 86301 Phone: 602-526-0628
Mrs. Brenda A. Austin, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3165 Stillwater Dr, Prescott, AZ 86305 Phone: 928-277-0875 Fax: 608-716-2838
Mr. Galen Francis Richmond, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1090 Commerce Dr, Prescott, AZ 86305 Phone: 928-583-1000 Fax: 866-323-5458

Kelley Brooke Corl, NP-C - Medicare Nurse Practitioner in Prescott, AZ