Kelly Nieman, ARNP in Clear Lake, IA - Medicare Nurse Practitioner

Kelly Nieman, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Clear Lake, Iowa. Her current practice location is 401 South 15th Street, Clear Lake, Iowa. You can reach out to her office (for appointments etc.) via phone at (641) 357-7442.

Kelly Nieman is licensed to practice in Iowa (license number 136011) 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 1720580277.

Contact Information

	Kelly Nieman, ARNP
	401 South 15th Street, Clear Lake, IA 50428
	(641) 357-7442
	(641) 357-3070

Map and Direction

Provider's Profile

Full Name	Kelly Nieman
Gender	Female
Speciality	Nurse Practitioner - Family
Location	401 South 15th Street, Clear Lake, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720580277
Provider Enumeration Date: 03/01/2018
Last Update Date: 07/15/2025

Medicare PECOS Information:

PECOS PAC ID: 3375805609
Enrollment ID: I20180326000603

Medical Identifiers

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

Identifier	Type	State	Issuer
1720580277	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	136011 (Iowa)	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 Nieman allows following entities to bill medicare on her behalf.

Entity Name	North Iowa Mercy Clinics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780278242 PECOS PAC ID: 7810809076 Enrollment ID: O20031105000273

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 Nieman 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 Nieman, ARNP 621 S Illinois Ave Suite 103, Mason City, IA 50401-5489 Ph: (641) 428-3041	Kelly Nieman, ARNP 401 South 15th Street, Clear Lake, IA 50428 Ph: (641) 357-7442

Reviews and Comments

Nurse Practitioner Nurses in Clear Lake, IA

Traci Goll, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1410 6th Ave S, Clear Lake, IA 50428 Phone: 641-357-2191 Fax: 641-357-6020
Petra Lamfers, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 S 15th St, Clear Lake, IA 50428 Phone: 641-357-7442 Fax: 641-357-3070
Lexa Collin Starbeck, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1410 6th Ave S, Clear Lake, IA 50428 Phone: 641-357-2191 Fax: 641-357-6020
Krista Ann Ysker, WHNP/ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 S 17th St, Clear Lake, IA 50428 Phone: 515-832-1200 Fax: 515-832-1200
Sarah Orchard, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 S 17th St, Clear Lake, IA 50428 Phone: 641-357-1800 Fax: 641-357-1803
Jaclyn Marie Dohlman, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 S 17th St, Clear Lake, IA 50428 Phone: 641-357-1800
Roger O Barillas, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1801 Us Highway 18 E, Clear Lake, IA 50428 Phone: 641-357-1999 Fax: 641-357-1999

Kelly Nieman, ARNP - Medicare Nurse Practitioner in Clear Lake, IA