Kelley Pruiett, CNP in Perrysburg, OH - Medicare Nurse Practitioner

Kelley Pruiett, CNP is a medicare enrolled "Nurse Practitioner" in Perrysburg, Ohio. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Promedica Northwest Ohio Cardiology Consultants Llc and her current practice location is 1601 Brigham Dr, Suite 120, Perrysburg, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 872-7703.

Kelley Pruiett is licensed to practice in Ohio (license number NP-11612) 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 1649583139.

Contact Information

	Kelley Pruiett, CNP
	1601 Brigham Dr, Suite 120, Perrysburg, OH 43551-7114
	(419) 872-7703
	(419) 872-1704

Map and Direction

Provider's Profile

Full Name	Kelley Pruiett
Gender	Female
Speciality	Nurse Practitioner
Experience	14 Years
Location	1601 Brigham Dr, Perrysburg, Ohio
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:

Kelley Pruiett graduated from nursing school in 2010

NPI Data:

NPI Number: 1649583139
Provider Enumeration Date: 07/26/2010
Last Update Date: 11/03/2023

Medicare PECOS Information:

PECOS PAC ID: 3971795113
Enrollment ID: I20101006001189

Medical Identifiers

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

Identifier	Type	State	Issuer
1649583139	NPI	-	NPPES
9384591	Other	OH	AETNA
P00962317	Other	OH	RRMC
000000671121	Other	OH	ANTHEM
3076442	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN-276458 (Ohio)	Secondary
363L00000X	Nurse Practitioner	NP-11612 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Promedica Toledo Hospital	Toledo, OH	Hospital
Promedica Defiance Regional Hospital	Defiance, OH	Hospital
Mercy St Vincent Medical Center	Toledo, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Promedica Northwest Ohio Cardiology Consultants Llc	4981752938	62

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 Pruiett allows following entities to bill medicare on her behalf.

Entity Name	Promedica Northwest Ohio Cardiology Consultants Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780820555 PECOS PAC ID: 4981752938 Enrollment ID: O20090430000147

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 Pruiett 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 Pruiett, CNP 1601 Brigham Dr, Suite 120, Perrysburg, OH 43551-7114 Ph: (419) 872-7703	Kelley Pruiett, CNP 1601 Brigham Dr, Suite 120, Perrysburg, OH 43551-7114 Ph: (419) 872-7703

Reviews and Comments

Nurse Practitioner Nurses in Perrysburg, OH

Kinsey Kay Reeves, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 830 W South Boundary St, Perrysburg, OH 43551 Phone: 419-931-3020
Alexa Layne Hirschfeld, PNP-PC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25950 Dixie Hwy Ste 400, Perrysburg, OH 43551 Phone: 567-585-0010
Megan Ann Savage, BSN,MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27386 Carronade Dr, Perrysburg, OH 43551 Phone: 567-336-4662
Mallory White, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1620 Brigham Dr Ste 240, Perrysburg, OH 43551 Phone: 419-872-7700 Fax: 419-872-5384
Kelly Hennig, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27386 Carronade Dr, Perrysburg, OH 43551 Phone: 567-336-4662
Michele L Stricklen, MSN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10540 Fremont Pike, Perrysburg, OH 43551 Phone: 800-427-1902
Mrs. Shaina Brook Hochmuth, APRN NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1103 Village Square Dr Ste 100, Perrysburg, OH 43551 Phone: 419-872-3213

Kelley Pruiett, CNP - Medicare Nurse Practitioner in Perrysburg, OH