Mrs Kelly Johanna Dicke, APRN, CNP in Rochester, MN

Mrs Kelly Johanna Dicke, APRN, CNP is a medicare enrolled "Nurse Practitioner" in Rochester, Minnesota. She graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Midwest Radiology Pa and her current practice location is 2355 Hwy 36 W., Ste. 100, Rochester, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 292-2000.

Mrs Kelly Johanna Dicke is licensed to practice in Minnesota (license number 7905) 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 1629668462.

Contact Information

	Mrs Kelly Johanna Dicke, APRN, CNP
	2355 Hwy 36 W., Ste. 100, Rochester, MN 55905-0001
	(651) 292-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kelly Johanna Dicke
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	2355 Hwy 36 W., Rochester, Minnesota
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:

Mrs Kelly Johanna Dicke graduated from nursing school in 2020

NPI Data:

NPI Number: 1629668462
Provider Enumeration Date: 01/26/2021
Last Update Date: 01/17/2024

Medicare PECOS Information:

PECOS PAC ID: 9638585169
Enrollment ID: I20210309000993

Medical Identifiers

Medical identifiers for Mrs Kelly Johanna Dicke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629668462	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	7905 (Minnesota)	Secondary
363L00000X	Nurse Practitioner	7905 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Regions Hospital	Saint paul, MN	Hospital
Allina United Hospital	Saint paul, MN	Hospital
Healtheast St John's Hospital	Maplewood, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Midwest Radiology Pa	4486568482	202

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. Mrs Kelly Johanna Dicke allows following entities to bill medicare on her behalf.

Entity Name	Midwest Radiology Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952307175 PECOS PAC ID: 4486568482 Enrollment ID: O20031114000105

Entity Name	Midwest Radiology Outpatient Imaging Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720059264 PECOS PAC ID: 3870495591 Enrollment ID: O20040123000119

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460

Entity Name	Suburban Imaging Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427008937 PECOS PAC ID: 4688564867 Enrollment ID: O20040319000599

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713

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. Mrs Kelly Johanna Dicke 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
Mrs Kelly Johanna Dicke, APRN, CNP 2355 Hwy 36 W., Ste. 100, Rochester, MN 55905-0001 Ph: (651) 292-2000	Mrs Kelly Johanna Dicke, APRN, CNP 2355 Hwy 36 W., Ste. 100, Rochester, MN 55905-0001 Ph: (651) 292-2000

Reviews and Comments

Nurse Practitioner Nurses in Rochester, MN

Nicole S Nipper, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511
Brandi D'souza, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511
Joan Grotewold, APRN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5067 55th St Sw, Rochester, MN 55901 Phone: 507-292-7070
Amy Behnken, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511
Carrissa Lee Donahue, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511
Judith Akinyi Okoth Dogo, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511
Christopher Dirkes, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511

Mrs Kelly Johanna Dicke, APRN, CNP - Medicare Nurse Practitioner in Rochester, MN