Kelly Krueger, APRN, CNP in Lakeville, MN - Medicare Nurse Practitioner

Kelly Krueger, APRN, CNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Lakeville, Minnesota. Her current practice location is 18432 Kenrick Ave, Lakeville, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 993-8800.

Kelly Krueger is licensed to practice in Minnesota (license number R1610305) 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 1215212261.

Contact Information

	Kelly Krueger, APRN, CNP
	18432 Kenrick Ave, Lakeville, MN 55044-9288
	(952) 993-8800
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Krueger
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	18432 Kenrick Ave, Lakeville, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215212261
Provider Enumeration Date: 10/20/2011
Last Update Date: 11/15/2016

Medicare PECOS Information:

PECOS PAC ID: 0042599714
Enrollment ID: I20161121001475

Medical Identifiers

Medical identifiers for Kelly Krueger such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215212261	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	R1610305 (Minnesota)	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. Kelly Krueger allows following entities to bill medicare on her behalf.

Entity Name	Park Nicollet Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

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. Kelly Krueger 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
Kelly Krueger, APRN, CNP 8170 33rd Ave S, Ms 21110q, Bloomington, MN 55440 Ph: () -	Kelly Krueger, APRN, CNP 18432 Kenrick Ave, Lakeville, MN 55044-9288 Ph: (952) 993-8800

Reviews and Comments

Nurse Practitioner Nurses in Lakeville, MN

Titi Taiwo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5370 172nd Street West, Lakeville, MN 55024 Phone: 612-386-2372
Tracy Mueller, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18275 Kenrick Ave, Lakeville, MN 55044 Phone: 952-892-5454
Katherine Mary Neu, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18275 Kenrick Ave, Lakeville, MN 55044 Phone: 952-832-5400
Carla Renea Boudoir, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18342 Kerrville Trl, Lakeville, MN 55044 Phone: 612-275-2739
Emily Ann Dallmann, DNP, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17713 Kenwood Trl, Lakeville, MN 55044 Phone: 952-595-6061
Sarah Mary Boman, DNP, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18432 Kenrick Ave, Lakeville, MN 55044 Phone: 952-992-6700

Kelly Krueger, APRN, CNP - Medicare Nurse Practitioner in Lakeville, MN