| Suzanne Kelly, CNP | |
|
218 Main St, Cold Spring, MN 56320-2533 | |
| (320) 685-3020 | |
| Not Available |
| Full Name | Suzanne Kelly |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 218 Main St, Cold Spring, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811300742 | NPI | - | NPPES |
| R 147009-5 | Other | MN | NURSING LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R 147009-5 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centracare Clinic | 2466363395 | 800 |
| Christopher J Wenner Md Pa | 4688723521 | 4 |
| Entity Name | Centracare Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
| Entity Name | Christopher J Wenner MD PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174762330 PECOS PAC ID: 4688723521 Enrollment ID: O20090522000335 |
| Entity Name | Centracare Clinic Southwest LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174106264 PECOS PAC ID: 8426457946 Enrollment ID: O20210602002802 |
| Mailing Address | Practice Location Address |
|---|---|
| Suzanne Kelly, CNP 218 Main St, Cold Spring, MN 56320-2533 Ph: (320) 685-3020 | Suzanne Kelly, CNP 218 Main St, Cold Spring, MN 56320-2533 Ph: (320) 685-3020 |
Brandi Rae Marten, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17402 Fisher Rd, Cold Spring, MN 56320 Phone: 320-250-5622 |
Lori Ann Edlund, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 402 Red River Ave N, Cold Spring, MN 56320 Phone: 320-685-8641 Fax: 320-685-4020 |