Kelsey Lynn Mccollum, APRN - CNP - Medicare Nurse Practitioner in Chisago City, MN

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Kelsey Lynn Mccollum, APRN - CNP is a medicare enrolled "Nurse Practitioner - Family" in Chisago City, Minnesota. Her current practice location is 11725 Stinson Ave, Chisago City, Minnesota. You can reach out to her office (for appointments etc.) via phone at (855) 324-7843.

Kelsey Lynn Mccollum is licensed to practice in Minnesota (license number 11915) 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 1720818156.

Contact Information

Kelsey Lynn Mccollum, APRN - CNP
11725 Stinson Ave,
Chisago City, MN 55013-9542
(855) 324-7843
Not Available

Map and Direction




Provider's Profile

Full NameKelsey Lynn Mccollum
GenderFemale
SpecialityNurse Practitioner - Family
Location11725 Stinson Ave, Chisago City, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720818156
  • Provider Enumeration Date: 08/01/2024
  • Last Update Date: 08/06/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8729526827
  • Enrollment ID: I20240821000437

Medical Identifiers

Medical identifiers for Kelsey Lynn Mccollum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720818156NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 11915 (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. Kelsey Lynn Mccollum allows following entities to bill medicare on her behalf.
Entity NameFairview Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346432218
PECOS PAC ID: 7113830142
Enrollment ID: O20031106000516

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 Lynn Mccollum 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 AddressPractice Location Address
Kelsey Lynn Mccollum, APRN - CNP
1700 University Ave W,
Saint Paul, MN 55104-3727

Ph: () -		Kelsey Lynn Mccollum, APRN - CNP
11725 Stinson Ave,
Chisago City, MN 55013-9542

Ph: (855) 324-7843

Reviews and Comments


Nurse Practitioner Nurses in Chisago City, MN

Karla Jean Lind, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 11725 Stinson Ave, Chisago City, MN 55013
Phone: 651-674-4570    
Mr. Richard John Mastenbrook, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 11725 Stinson Ave, Chisago City, MN 55013
Phone: 651-257-8850    Fax: 651-257-8852
Susan Flannigan, RNCNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: Fairview Lakes Chisago Clinic, 11725 Stinson Ave, Chisago City, MN 55013
Phone: 651-257-8499    
Mrs. Gina Sophia Marchio Smith, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 29575 Sportsman Dr Ste 6, Chisago City, MN 55013
Phone: 651-257-8850    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.