Kelsey Rader, FNP in Lafayette, IN - Medicare Nurse Practitioner

Kelsey Rader, FNP is a medicare enrolled "Nurse Practitioner - Family" in Lafayette, Indiana. Her current practice location is 3920 St Francis Way Ste 209, Lafayette, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 775-2830.

Kelsey Rader is licensed to practice in Indiana (license number 71009124A) 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 1104479013.

Contact Information

	Kelsey Rader, FNP
	3920 St Francis Way Ste 209, Lafayette, IN 47905-4917
	(765) 775-2830
	(765) 775-2826

Map and Direction

Provider's Profile

Full Name	Kelsey Rader
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3920 St Francis Way Ste 209, Lafayette, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104479013
Provider Enumeration Date: 07/19/2019
Last Update Date: 03/01/2024

Medicare PECOS Information:

PECOS PAC ID: 4385974898
Enrollment ID: I20190926001121

Medical Identifiers

Medical identifiers for Kelsey Rader such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104479013	NPI	-	NPPES
71009124A	Other	IN	APN LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	71009124A (Indiana)	Secondary
363LF0000X	Nurse Practitioner - Family	71009124A (Indiana)	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 Rader allows following entities to bill medicare on her behalf.

Entity Name	Trustees Of Purdue University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619055712 PECOS PAC ID: 2567373012 Enrollment ID: O20200821001390

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 Rader 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 Rader, FNP Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800	Kelsey Rader, FNP 3920 St Francis Way Ste 209, Lafayette, IN 47905-4917 Ph: (765) 775-2830

Reviews and Comments

Nurse Practitioner Nurses in Lafayette, IN

Abigail Ann Crum, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000
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Mrs. Cecilia Ann Winkler, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5500 State Road 38 E, Lafayette, IN 47905 Phone: 765-449-6790 Fax: 765-772-7113
Harmony Stine, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1345 Unity Pl Ste 355, Lafayette, IN 47905 Phone: 765-807-7988 Fax: 765-807-7989
Monica Michele Roadruck, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3218 Daugherty Dr Ste 140, Lafayette, IN 47909 Phone: 765-502-4190 Fax: 765-502-4191
Julie J Debord, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000
Venice Michele Jarrett, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8100

Kelsey Rader, FNP - Medicare Nurse Practitioner in Lafayette, IN