| Kelsi L Evans, RN, PMHNP | |
| 
					523 N 3rd St, Brainerd, MN 56401-3054  | |
| (218) 828-7394 | |
| Not Available | 
| Full Name | Kelsi L Evans | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 523 N 3rd St, Brainerd, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1255866521 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 11596 (Minnesota) | Primary | 
| 163W00000X | Registered Nurse | R33567 (North Dakota) | Secondary | 
| Entity Name | St Josephs Medical Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1568415974 PECOS PAC ID: 8224948443 Enrollment ID: O20031119000468  | 
| Entity Name | Lakeview Behavioral Health Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1154404325 PECOS PAC ID: 9537432307 Enrollment ID: O20170830003216  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kelsi L Evans, RN, PMHNP 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364  | Kelsi L Evans, RN, PMHNP 523 N 3rd St, Brainerd, MN 56401-3054 Ph: (218) 828-7394  | 
Luke Funk,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 411 Front St, Brainerd, MN 56401 Phone: 218-327-2001  | |
Karli G Dullum, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2024 S 6th St, Brainerd, MN 56401 Phone: 218-828-7101  | |
Deanne Ehlert,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2024 S 6th St, Brainerd, MN 56401 Phone: 218-825-7100  | |
Danette Lee Diethert, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 523 N 3rd St, Brainerd, MN 56401 Phone: 218-829-2861 Fax: 218-828-3130  | |
Jordan Benson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2024 S 6th St, Brainerd, MN 56401 Phone: 218-828-7100 Fax: 218-828-7194  | |
Kimberly E Henderson, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 520 Nw 5th St, Brainerd, MN 56401 Phone: 507-884-4856  | |
Anna Eileen Wistrom-thesing, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2024 S 6th St, Brainerd, MN 56401 Phone: 218-828-2880  |