Kelsey Fobbe, RN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Saint Johns, Michigan. She graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Edward W Sparrow Hospital Association and her current practice location is
2063 Secretariat Ln, Saint Johns, Michigan. You can reach out to her office (for appointments etc.) via phone at
(517) 282-1295.
Kelsey Fobbe is licensed to practice in Michigan (license number 4704278919) 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 1619548740.
Provider's Profile
| Full Name | Kelsey Fobbe |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 4 Years |
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| Location | 2063 Secretariat Ln, Saint Johns, Michigan |
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| 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:
- Kelsey Fobbe graduated from nursing school in 2022
NPI Data:
- NPI Number: 1619548740
- Provider Enumeration Date: 07/09/2021
- Last Update Date: 09/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 3476938630
- Enrollment ID: I20220923002389
Medical Identifiers
Medical identifiers for Kelsey Fobbe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1619548740 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 4704278919 (Michigan) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 4704278919 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Edward W Sparrow Hospital Association | 6709799166 | 633 |
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. Kelsey Fobbe allows following entities to bill medicare on her behalf.
| Entity Name | Edward W Sparrow Hospital Association |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366498107 PECOS PAC ID: 6709799166 Enrollment ID: O20040311001138 |
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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. Kelsey Fobbe 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 |
Kelsey Fobbe, RN 2063 Secretariat Ln, Saint Johns, MI 48879-8034 Ph: (517) 282-1295 | Kelsey Fobbe, RN 2063 Secretariat Ln, Saint Johns, MI 48879-8034 Ph: (517) 282-1295 |
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