Kerri Renee Self, PMHNP in Portales, NM - Medicare Nurse Practitioner

Kerri Renee Self, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Portales, New Mexico. Her current practice location is 405 W 4th St, Portales, New Mexico. You can reach out to her office (for appointments etc.) via phone at (575) 226-3898.

Kerri Renee Self is licensed to practice in New Mexico (license number 75355) 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 1144005224.

Contact Information

	Kerri Renee Self, PMHNP
	405 W 4th St, Portales, NM 88130-6364
	(575) 226-3898
	(575) 226-3890

Map and Direction

Provider's Profile

Full Name	Kerri Renee Self
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	405 W 4th St, Portales, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144005224
Provider Enumeration Date: 08/28/2023
Last Update Date: 07/08/2024

Medicare PECOS Information:

PECOS PAC ID: 8921456401
Enrollment ID: I20231121003420

Medical Identifiers

Medical identifiers for Kerri Renee Self such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144005224	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	75355 (New Mexico)	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. Kerri Renee Self allows following entities to bill medicare on her behalf.

Entity Name	The Psychiatric Care Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669729711 PECOS PAC ID: 3476877507 Enrollment ID: O20150121001028

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. Kerri Renee Self 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
Kerri Renee Self, PMHNP 405 W 4th St, Portales, NM 88130-6364 Ph: (575) 226-3898	Kerri Renee Self, PMHNP 405 W 4th St, Portales, NM 88130-6364 Ph: (575) 226-3898

Reviews and Comments

Nurse Practitioner Nurses in Portales, NM

Mrs. Shanna Lee Campbell, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 42121 Us Highway 70, Portales, NM 88130 Phone: 575-356-6652
Lindsay Young, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 42121 Us Highway 70, Portales, NM 88130 Phone: 575-356-6652 Fax: 575-359-6827
Teresa Claire Evan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1515 W Fir St, Portales, NM 88130 Phone: 575-356-6695 Fax: 575-356-5948
Eva F Toelle, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 42121 Us Hwy 70, Portales, NM 88130 Phone: 575-356-6652 Fax: 575-359-6827
Sylvia Anne Rife, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 42121 Us Hwy 70, Portales, NM 88130 Phone: 575-356-6652 Fax: 575-226-0099
Mrs. Johanna Christine Pettrey, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1515 W Fir St, Portales, NM 88130 Phone: 575-356-6695

Kerri Renee Self, PMHNP - Medicare Nurse Practitioner in Portales, NM