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

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Mrs Kelly Johanna Dicke, APRN, CNP is a medicare enrolled "Nurse Practitioner" in Rochester, Minnesota. 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 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 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 NameMrs Kelly Johanna Dicke
GenderFemale
SpecialityNurse Practitioner
Location2355 Hwy 36 W., Rochester, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  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.
IdentifierTypeStateIssuer
1629668462NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 7905 (Minnesota)Secondary
363L00000XNurse Practitioner 7905 (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. Mrs Kelly Johanna Dicke allows following entities to bill medicare on her behalf.
Entity NameMidwest Radiology Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952307175
PECOS PAC ID: 4486568482
Enrollment ID: O20031114000105
Entity NameMidwest Radiology Outpatient Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720059264
PECOS PAC ID: 3870495591
Enrollment ID: O20040123000119
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295272342
PECOS PAC ID: 4587573613
Enrollment ID: O20040319000460
Entity NameSuburban Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427008937
PECOS PAC ID: 4688564867
Enrollment ID: O20040319000599
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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


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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.