Mr Patrick Ryan Kelly, MSN, APRN, PMHNP-BC - Medicare Nurse Practitioner in Red Lake, MN

Mr Patrick Ryan Kelly, MSN, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Red Lake, Minnesota. His current practice location is 24760 Hospital Drive, Red Lake, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 679-0396.

Mr Patrick Ryan Kelly is licensed to practice in Minnesota (license number 10241) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1881971919.

Contact Information

Mr Patrick Ryan Kelly, MSN, APRN, PMHNP-BC
24760 Hospital Drive,
Red Lake, MN 56671
(218) 679-0396
Not Available

Map and Direction




Provider's Profile

Full NameMr Patrick Ryan Kelly
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location24760 Hospital Drive, Red Lake, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1881971919
  • Provider Enumeration Date: 11/03/2011
  • Last Update Date: 07/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7416310834
  • Enrollment ID: I20231207002977

Medical Identifiers

Medical identifiers for Mr Patrick Ryan Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881971919NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 1098752 (Texas)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 10241 (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. Mr Patrick Ryan Kelly allows following entities to bill medicare on his behalf.
Entity NamePhs Indian Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508809765
PECOS PAC ID: 4789598731
Enrollment ID: O20031114000287

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. Mr Patrick Ryan Kelly 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
Mr Patrick Ryan Kelly, MSN, APRN, PMHNP-BC
911 Maple Ridge Ct Nw,
Bemidji, MN 56601-8009

Ph: (605) 370-7669
Mr Patrick Ryan Kelly, MSN, APRN, PMHNP-BC
24760 Hospital Drive,
Red Lake, MN 56671

Ph: (218) 679-0396

Reviews and Comments


Nurse Practitioner Nurses in Red Lake, MN

Ms. Tracy Brower, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: Highway 1, Red Lake, MN 56671
Phone: 218-679-3912    Fax: 218-679-0135
Michelle Lynn Graves, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 24760 Hospital Rd, Red Lake, MN 56671
Phone: 218-679-3912    
Mr. Bruce James Chaffee, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: Red Lake Hospital, 24760 Hospital Drive, Red Lake, MN 56671
Phone: 218-679-3912    
Rachel Koch, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 24760 Hospital Dr, Red Lake, MN 56671
Phone: 218-679-3912    Fax: 218-679-0181
Tricia Lynn Cowan, DNP, APRN, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 24760 Hospital Dr, Red Lake, MN 56671
Phone: 218-679-0168    Fax: 218-679-3912
Kathleen Marmorine,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: Highway 1, Box 497, Red Lake, MN 56671
Phone: 218-679-3912    Fax: 218-679-0181
Dr. Kari Lynn Josefson, DNP, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 24760 Hospital Drive, Red Lake, MN 56671
Phone: 218-679-3912    

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.